Laserfiche WebLink
& 2795 2nd Street, Suite 300 <br /> Davis,CA 95616Y77CAL LLc Lab 530 297 4800 y <br /> Fax 530 297 4808 Lab No 4� 7 B <br /> Project nta (tiardcop r PDF To) Page _of r <br /> - California EDF Repart? Yes []No <br /> Company Address <br /> Chain-of-Custody Record and Analysis Request <br /> � title sedan <br /> Sampling Company Log Code <br /> One No f{' Analysis Request <br /> FAX No Global ID <br /> m t <br /> Pro�e�Number P p Flo E F Deliverable To mail Addres ) w <br /> co <br /> Pro�ct Natrfe J m o <br /> it i re <br /> O * IL N K C <br /> N <br /> S M m m a <br /> Project Address W o N ^, �, N � <br /> Sampling Container Preservative Matrix a- °� ° N <br /> SQL Q (D 0m I n 0 � .�5 � 0 � <br /> O o x m o m a m is m _o T 0 <br /> w y ti <br /> sample Designation W ° o Q J W W " m m " N <br /> Date Time < i = = tWi x m a W <br /> x <br /> W - �z383 I <br /> -03 <br /> w - 3 3P 3 '� <br /> w r <br /> R to Date Time Received by <br /> Remarks �^ <br /> LZO 0 <br /> ReZ' (5 <br /> lfnfished by Tim <br /> Relinquished by Date Time Re wed by Lab ratory <br /> � <br /> 022zo� 2Sa f ct aril t 64r&r <br /> DrstnbufroMR@-Lab Pink-Onginaforn 1��L � V�r <br /> Fom►slwc 121001 th9 <br />