Laserfiche WebLink
2795 2nd Street,Suite 300 <br /> Davis, 6 <br /> tANA <br /> Lab 530 974840 <br /> LYTICAL Lcc Fax 530 2974808 Lab No a7SCO Page�of <br /> P7!�, <br /> �Contact(Hard py or PDF To) California EDF Report? es ❑No <br /> C� Chain-of-Custody Record and Analysis Request <br /> Company/Address ltaoaema,dsdta,tnot to 1HseectiorL <br /> Sampling Company Log Cade Analysis Request F <br /> Phone No 'FAJX Nq Global ID m <br /> umber PO No EI)FEjaeltverable To(Email Address) m m �, <br /> ��,�i/ _ G c$ X c <br /> Proled Name Q 1; m m m a r <br /> (W� m -e w crV <br /> F ED <br /> C7 c0 Q <br /> Pr� <br /> ct ddress am iin _ _ <br /> rgl-7 P 9 Container ervative M o lz t �, o <br /> Jf- 0 W FL m h n �0 m OID ' = N 1L <br /> W Z w X }� W m U 7m. ?�, Z <br /> > Ix <br /> /��l. T! } FW a X x a L <br /> Sample Designation Date Time v w _ = V Z } O (Q M � F h � O � Q 3 C4 <br /> _ 1 <br /> 0 <br /> -off <br /> h Date Time Received by Remarks <br /> Relinquished by Date Time Received b <br /> Relinqurshed by Date Time Recelv by ratory, �` Bill to <br /> 03t7o'1 �4rs o � � <br /> Vistnbatm Whyte-Lab Pink-Ongmalor + FomWcoc 121001 Ih9 <br />