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2795 2nd Street, Suite 300 <br /> tANVALY77CAL,LLc <br /> Davis,CA 95616 <br /> Lab: 530.297.4800 -} <br /> Fax: 530.297.480$ Lab No. Ho �L_-_ paw �f at <br /> e- <br /> Proje ntact(Hardcopy oPr lTo): Califomia EDF.Report? ❑ Ye o <br /> � Chain-of-Custody Record and Analysis Request <br /> Company/Address: ft=MwKWbufnohwdWhwvIo M, m: <br /> Sampling Company Log Code: + <br /> m v'� tri Analysis Request <br /> Pho o.. FAX No.: Global Ip: <br /> m w <br /> m <br /> Project Number: P.O.No: EDF Dellverabie To(Email Address): m m m a <br /> co <br /> Ui r4 <br /> P ject me: Sampler Signatu yo•,[ a o <br /> tiv L 'rT \ w u� m W g, o '6 w .n <br /> co t 7 <br /> Project Address: Sam lin _ 2 a a to <br /> N o ` <br /> P 9 Contai r Preservative Matrix w b C ! <br /> N <br /> W p LU Z <br /> Sample Designation Date Time w = z U z a a a 0 0 <br /> m m H H H 11] t` 1l'1 ti W J J � <br /> Z- Ila 51 <br /> �C Zi <br /> 2-3 <br /> VV\ W I Z-- / - .1011-011043 t S X x z( <br /> 11010 <br /> Reli wished by: V"o� . � Y� Tim <br /> 7� Received by: Remark � <br /> linquish by: Date Time Received by. <br /> Relinquished by: Date Time R <br /> ;X by LaboraW i- Bill to: <br /> tr�� � Sit <br /> Distribution: Whate-Lab. Pink-originator <br /> Fonnsleoc 121001.th9 <br />