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2795 2nd Street, Suite 300 <br /> ,�� Davis,CA 95616 <br /> Lab: 530.297.4800 <br /> ANALYTICAL LLC Fax: 530.297.4808 Lab No..140073 Page f of <br /> Project Contact(Hardcopy or PDF to). EDF Report? ®Yes [D No <br /> R. Smith <br /> Chain-of-Custody Record and Analysis Request <br /> Company/Address'. Recommended but not ffwndatorV to coRW14ft this section: <br /> J— <br /> HORIZONpiing Company Log Code. <br /> Fam DEIO Analysis Request <br /> Phone No.: FAX No.: Global ID: T0607700492 <br /> 939-2170 939-2172 <br /> w F7 <br /> N Ul <br /> Co <br /> Project Number: P.O. No.: EDF Deliverable to(Email Address): M <br /> ,-,or r3mith@horizonenvironmental.not ca M U) x <br /> 364 <br /> 3641 Stockton 14 <br /> CD J <br /> 0 <br /> Project Name: Beacon Project:Address: g % e m — .5 I g < <br /> 0 0 00 8 <br /> Stockton LU UJ M LU <br /> Sampler Signature(below): o to M T 9! <br /> — C a(L N – .0 <br /> MU 1A' C! <br /> C6 <br /> 7 0 <br /> CO to M to <br /> 0 LL <br /> > 1E <br /> > LU w co 'a 5 <br /> U, x <br /> U.1 C" (n CM <br /> (3 T >' Co <br /> LiJ 0 M T- <br /> C� -J z 0 <br /> UK*Desi nation IT U) 0 0 (L EL a. 0 a_ -6 cc <br /> x — z U) Ln Po < C14 <br /> Date Time Ui <br /> I In -J w > <br /> -74-0 ?.1113 x <br /> k-00 <br /> TT <br /> Oq <br /> U" —------ as <br /> - <br /> y— <br /> F-- <br /> Relinquished by: 7 . 1 <br /> Date Time Received by: Remarks: <br /> 7— <br /> Relinquished Date Time Received by: <br /> Relinquished by: Date Time Received by Laboa tory: Bill to: <br /> Distribution: Mite-Lab. Pink-Originator <br /> Forms/cot 121001A9 <br />