Laserfiche WebLink
( r <br /> 2795 2nd Street,Suite 300 <br /> /FF Lab:Davis,3 2CA 14800 <br /> ANALYT/CAL tic Fax:530.297.4808 Lab No. 9) Page of Z <br /> Project Contact(Hardcopy or PDF To): C811fomi8 EDF Report? ❑Yes U No <br /> Chain-of-Custody Record and Analysis Request <br /> Company/A dress: Woonv mWodbL*rut to V*sodm: F <br /> !' Sampling Company Log Code: <br /> U - Analysis Request a <br /> t- <br /> Phone NdQ FAX No.: Global ID: m x p <br /> w0? L N <br /> Project Number. P.O.No: EDF Deliverable To(Email Address): 2 v v m c 3 v eo <br /> a CD <br /> 10 Ui <br /> NQ' <br /> Project Name: pie Sig <br /> m U� m m ¢ ^ W 00 z <br /> Project Address: 2 a a N o <br /> Sampling fairer Preservative Matrix o , I- S N N i <br /> a m c� m m � v <br /> LU � !tlm�� C Cpm C a > O W N i L Y. <br /> O W t0 w W J F' l0 l:7 Ol pl T U/ O V N <br /> E w O z I- X K ;^ X a <br /> Sample Desi nation Date Time a i = X v z m m F F F N o 0 o J W N <br /> -iL-o 3 ^ o <br /> SP1 - a LI / - <br /> IIT <br /> l <br /> ............L <br /> R qu' hed Date Time Received by: Remarks: <br /> z� 3 )q.%.? Plecst apo,--t 0- 7r <br /> Rel' ish by <br /> Cr � SePk�4�ca ,� poss; IP <br /> Relinqui Date Time Received by Laboratory; Bill to: <br /> W-'J V4AA�— Jgf.Z /7 6.-0' <br /> Distribution: White-Lab,Yellow-Fife,Pink-Originator fForms/coc 121001.ih9 <br />