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13 991 "MEW <br /> I - <br /> NALYTICAL . 720 Olive Drive.Suite D Lab:915.297-4800 <br /> GLC Davis,CA 95615 Fax:915.297.4808 Page-t—Of <br /> Project Manager: Phone No.: <br /> mef- fnl-(u��,9 4i6 _ $� Z 3 Chain-of-Custody Record and Analysis Request <br /> Compa ylAddress: FAX No.: t•- For lab <br /> 7iT�i� Il3ts S00 n+Sw D a. 7,i Analysis Request F use only <br /> WMAI <br /> Project Number: P . Na.: Project Name: WET{X} Y <br /> 3 <br /> 11-0!/, �/� `— 5co �lgo`l � N <br /> TOTAL{X) <br /> Project location: Sampler Signature: `^ 3 <br /> �Aj co <br /> W Ln CD m EnM [v <br /> Container Method v <br /> Sampling (Type/Amount) Preserved Matrix <br /> ,ecc 0 O v, ro rn m <br /> cn u0i N x <br /> a.°' o a c 4 ^� a <br /> LU a <br /> Q a o o 0 0 <br /> � ul w m ca o o m m W C 4_ N <br /> Sample aw � E o Z LdzQaQQQ � " <br /> Designation Date Time 7U-) r L _ = U z 3 m m i? uai W w w U cam, <br /> s T IX1 I I Yl <br /> i <br /> r _ C e 1 -157 ' <br /> -- 5 e(4- ir:r _614 <br /> z- - C 015, <br /> • T3 — C iSr �ZX1 1 1 1- 08 <br /> a <br /> T3 _ G c i' by ` 2. X IO <br /> Relinqujsed by: 4ateTime Received by: Remarks: <br /> LO&Pk4444414H ko I I ``� ou"'J <br /> Relinquished by: Date Time Received by: Email address: <br /> . <br /> ❑.doc ❑.xts ❑.txt ❑other <br /> Received by Laboratory: Bill to: <br /> Relinquished by: Date Time <br /> COCAS <br /> DisvibLftn: White-Lab Yellow-Fife,Fink-Originator <br />