Laserfiche WebLink
2795 2nd Street, Suite 300 <br /> fiJVT <br /> Davis,CA 95616TICAL ccC Lab: 530.297.4800 ✓ <br /> Fax: 530.297.4808 Lab No.� Page Z- of <br /> Projlt contact(Hardcopy or PDF To): CaliforniaEDF Report? Yes9%.-1 <br /> fit, smCalifoa ❑ Chain-of-Custody Record and Analysis Request <br /> Co panylAddress: I�or+rmrndrrdputrot b ttMssrdar� <br /> Sampling company Log code: Analysis Request <br /> ov`r <br /> Phone No.: FAX No.: Glo 1 ID: <br /> -i✓ <br /> /'� �} m <br /> 11-0-0 - ; • 1-O -V - -qa n u^s m to � w <br /> o w <br /> Project Number: P.O. No: EDF Deliverable To(Email Address): E o m m <br /> W <br /> Proj sampler!'', I I i Py,G �, m d <br /> �/�[lotL�vC 7 sUir m w <br /> Project Address: � a � m o J a <br /> Sampling Con nor Pro rvatfve Matrix gW _ Q t C H = 4 w t <br /> O W N = p m m a1p m `_• N + O <br /> W M W W <br /> m n o v <br /> Sample DeSl nation Date Time g v, = z c`i'i °z � y � � a a. o 0 0 0 4 s � N <br /> m m F }- 1L1 h Ln A J 1!1 J <br /> 07' 1 S r J l <br /> Jz <br /> 1,J 2.- CSS J3 <br /> f z 70 <br /> 141 <br /> W\ <br /> �_ SS a X ire <br /> X �S <br /> Aq <br /> ReAzIl <br /> linquished by: Mq q a Time Received by: Remark l; K 7° <br /> [Re <br /> linquishad b ` <br /> Date Time Received by: <br /> linquished by: Date Time R ed b Labo <br /> ry' / f Bill to; <br /> Distributia Jute-Lab, Pink-Originator <br /> ". . <br /> artnslooc 1210o1.fh9 <br />