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2795 2nd Street, Suite 300 <br /> Davis, CA 95616 <br /> Lab: 530297.4600 <br /> ANALYT/CAL LLc Fax: 53o 297.46os Lab No. � Page J. of <br /> Project Contact (Hardcopy or PDF To): Call{omia EDF Report? ❑ Yes ❑ No <br /> Chain-of-Custody Record and Analysis Request <br /> loAt4k440 Ti) <br /> CompwWfAddress: 6ilnar m '° <br /> Sampling Company Log Code: Q <br /> cr A-SSoG. lt) (� A-f Analysis Request <br /> Phone No.: FAX No.: Global ID: o <br /> m a <br /> Project Number: P.O. No: EDF Deliverable To (Email Address): w m x <br /> XOwft <br /> Project Name: Sam ler Signature:O <br /> ,6tse-t<1-c Cot+7� . — FAti a C9sy� T7 o g m a z m m m ~ a <br /> Project Address: inerPreserave Sampling om � , ` € m "m y„o <br /> ff LLFulc ° <br /> p W i ¢ J x m w r� sn m <br /> Sample. D@Si nation Date Time � m i i i 3 r0n m m r ° ° w >° <br /> M � r6 . X x x r <br /> My sf 1 11 16Z <br /> rt w 3 <br /> 03 <br /> M w 64 <br /> a1 r,✓ r <br /> /til W (o U(v <br /> Mw7 1 107 <br /> Mw b5� <br /> Relinquished by: Date Time Received by. Remarks: <br /> �7tZ . G - (6 18 <br /> Relinqu ed by: Date Time Received by <br /> Relin Date Time R by Laboratory. Ir( <br /> Bill to: <br /> lGzy /�zd �y <br /> Distribution: White - Lab, 5"nk - Ongmefo/ 44 Forms/coo 121001 m, <br />