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• 9 <br /> 720 Ouve Drive,Suite D <br /> j <br /> Jr!JV2 <br /> Davis,CA 95616 <br /> Lab 530 297 4800 <br /> YT�L ccc Fax 530 297 4003 Lab No9 Page—L—of <br /> NOWMarteger Phone No <br /> Chain-of-Custody Record and Analysis Request <br /> Comp y/ FAX No t- For Lab <br /> Analysis Request Use Only <br /> PmIeot Number P NO Email Address <br /> �o1 IQ 3 ❑par ❑.xis ❑doC ❑at,at ,. .. <br /> Pf*d Nww/Locatignia C11 <br /> smnpler signature m S x <br /> x is <br /> Container Method 9 E E E <br /> smoing (Type/Amount) Preserved MaIrk • d n d o <br /> inw <br /> Sample w <br /> LU ryr } � <br /> Designation wtf irte g z 3 a n �. _ A s >: <br /> .- <br /> NO —2 2 I'U'V 3 <br /> V <br /> FT <br /> Rwwoftm Data lime Received tty' RerrsaukR <br /> by Date lime Received ty <br /> 0000 <br /> i f/4Z <br /> Time � Lab%*Drf � BAI to <br /> D utbe *7ft-"4 Yoftw-Fef,ft* Odor Ct]C tlf8{51 ) <br /> I <br />