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2795 2nd Street, Suite 300 <br /> ,JT Lab: <br /> Davis, <br /> 97.4800 <br /> ANALYTICAL ctc 1 <br /> Fax: 530.297.4808 Lab No. '7 z Page L of <br /> Project ontact(Hardcopy or Poi ro): California EDF.Report? Yes 0N <br /> Lk't' {�.t Chain-of-Custody Record and Analysis Request <br /> Compan Address: Reoom�r�r�ded6utnot m ttrsaadlon: <br /> Sampling Company Log Code: Q <br /> ' Analysis Request � <br /> Phone o.: F o. Global ID: m x <br /> l G k -Z� 6 3y- Zt' Z . 0 . .� . 0 o o N <br /> � - C11 W <br /> Project Number. r P.O. No: EDF Deti erable (Email Address): % m a s+ <br /> ta <br /> m p <br /> Pro ect Nignatureh <br /> 8'� �l�g r ► o m o y y LU 93 <br /> 04 <br /> Project Address: ~ a a N <br /> f Sampling Contac or Prese ti>re Matrix m o r �, N 3 $ � m .131 <br /> Q 2 0 <br /> W o x m m yIt 4V U" a 9 }; � r o m N L It <br /> ' w LLQ LL! f�0 f0 C� X K K N � •G N <br /> J x }� <br /> u1 ~ W W x z x X v <br /> W m L <br /> Sample Designation Date Time a i _ _ z m m 0 0 o O 0 w Z J <br /> VAS F <br /> V C-5 - N F 3-�- +z x C <br /> Relinquished by: 0 1 zq Date Time Received by: Remarks: <br /> I- �6 ) 3.� <br /> Relinquish by: Date Time 1 LReceivedby: 1 1�, t T�Y_Relinquished by: date Timey Labor tory: Bill to: 'T� V 1 !_ ` <br /> Distribution -Lab, Pink-Originator :` 1slcoc 121001.th9 <br /> i <br />