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KIFF <br /> Second Street, Suite 300 Calscience <br /> Davi 7440 Lincoln Wa <br /> Davis, CA 95618 y <br /> Lab: 530.297.4800 Garden Grove, CA 92841-1427 <br /> Analytical LLC Fax: 530.297.4808 714-895-5494 COC No. Page 1 of 1 <br /> Project Contact(Hardcopy or PDF to): EDF Report? YES Chain-of-Custody Record and Analysis Request <br /> Christie Dumas <br /> Company/Address: Recommended but not mandatory to complete dtis section: w y <br /> Kiff Analytical Sampling Company Log Code: CESC Analysis Request o M <br /> Phone No.: FAX No.: Global ID: SL186142972 <br /> 530-297-4800 530-297-4808 <br /> Project Number: P.O. No.: Deliverables to(Email Address): W r <br /> M1-080618 63311 inbox kiffanal tical.com C:) <br /> o <br /> Project Name: container/Preservative Matrix V D <br /> 0 o CV d <br /> French Camp Grain Elevator o <br /> m o o N J <br /> Project Address: Sampling z a a � o <br /> O a W W LL <br /> Z a n <br /> T a <br /> Sample 0 o 0 <br /> Designation Date Time J 0 2 a .Q <br /> MW-10B 06/18/08 12:00 1 1 X X X 1 <br /> EW-11 B 06/18/08 09:55 1 1 X X X Z <br /> MW-3B 06/18/08 11:15 1 1 X X X 3 <br /> MW-4B 06/18/08 12:20 1 X X X <br /> MW-5B 06/18/08 12:30 1 X X X S <br /> MW-9B 06/18/08 12:15 1 X X X <br /> --FT= IM <br /> Relinquished by. Jl�/ Date Time Received by: RemarWattachedTest <br /> ks Please refer <br /> �j _ t;m 0AW /Roy <br /> Relinquished by: Date Time Received by: <br /> Relinquished by: Date Time Received y ratory�LabpBill to: <br /> Accounts Payable <br /> \JVI_L X40 L-\ -o � p C�� <br />