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2795 2nd Street,Shite 300 <br /> Davis,CA 95616 <br /> Lab: 530.297.4800 �O -L3 <br /> ANALYTICAL LLC Fax: 5330.297.4808 Lab No. Page 7--of <br /> Proj contact(hardcopy or PDF To): California EDF.Report? ❑ yeso <br /> ti <br /> Chain-of-Custody Record and Analysis Request <br /> Cam any/Address: Rscarmendedbwnot b thlaaec9on: <br /> Sampling Company Log Code: <br /> ov � "�' Analysis Request � <br /> Phone No.: FAX No.: GI al ID: io 5 <br /> Q. <br /> l w <br /> P BGt Number: P.O. No: EDF Deliverable To(Email Address): W m m o ?, <br /> 3b�f1 — rod- _� Cn w N x <br /> Project Name: Sampler Signature: rq.r W m m a m <br /> 3� r W WW W o46 Ui t <br /> CIAPro'ect Address: 2 n A N z <br /> t Sampling Contain r preservative Matrix _ o , r_ �_ m y N 0 41 � r <br /> ° m c Gma =o <br /> N NLt <br /> IL <br /> W <br /> W W // g zn <br /> i z °W <br /> Date TimeE IL <br /> °Sam le Designation O 0 <br /> W <br /> U? n M ti r W J r <br /> ►M1)J 1 -SS a -di enz� S « <br /> \►� 31 112- <br /> YV\ <br /> ?s1 t3 <br /> X X /'Y <br /> z r� <br /> /Z <br /> VV\U ., I J " C'1 <br /> VV\ S �a <br /> TF S <br /> Reilinquished by: 't ekl ,� Y4oTV. �al Time Received by: Remarks: /t <br /> r <br /> Relinquish y: p <br /> Relinquished by. Date Time ReceiGill to: ff L <br /> loraoy a�?� LIQ 1� �I rw <br /> Distribudion: While-Lab, Pink-Originator Forms/coc 121001.th9 <br />