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l <br /> 2795 2nd Street,Suite 300 ' <br /> Davis,CA 95616 <br /> Lab: 530.297.4800 <br /> ANAL /CAL LLc Fax:530.297,4808 Lab No. Page of <br /> Project contact(Hardcopy or PDF To): California EDF,Report? O Yes ❑No <br /> Chain-of-Custody Record and Analysis Request <br /> Co pang/Address: ra.00mmend@dbutnot a ft9@dI=- <br /> Sampling Company Log Code: Q <br /> U tlrly w Analysis Request <br /> Phone NoN FAX No.: Global ID: a x <br /> lye{ ( m m t <br /> iD W <br /> Project Number: /►� P.O. No: EDF Deliverable To(Email Address): <br /> 021.-3ZV AN 6 6 S N o` <br /> Project Name: Sampler re, ? m 0° OD <br /> am <br /> w w m o m w o t a <br /> m 0 o N U m m n <br /> Project Address: a a. . A c J N ° <br /> Sampling Con ta Pre five Matrix y o �, N o� co <br /> v L <br /> Oj j w g a O M m c c W ' o °° N r ISL <br /> UJ LU E W O Z H J X 0 w (� Ta °' 0, °�' �n W m C N <br /> Q X x x W Q W t <br /> Sample Designation Date Time a Ui i z v z vim) Co m F F I O^ � W <br /> S' 3- F6 1 -1 o3 <br /> ..o <br /> - 3 - <br /> l <br /> S- 3- r-o i <br /> S-3 - Ft 51 1 1 1t -os <br /> S - H- PLI <br /> S- L4 PC -0 <br /> S—y — PL 3 ! -o <br /> .o <br /> III F <br /> Relinquy: Date Time Received by: Remarks: <br /> -�•t�3 �y'� Mceck � e-��, l (4 In tesk l <br /> Relinqu' Date Time Received b : d t t�P c (y -y V. 1`�t <br /> 0 ! �� <br /> Relinquis Date Time Received bLaboratory: C4" V111Q —���1 fA�o�✓�S S <br /> Y d / Bill to: • <br /> Distribution: White-Lab,YelbW-He,Pink-Originator Fortes/COC 121001.fh9 <br />