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2795 2nd Street Suite 300 I 0 K1I3 r61i t1 <br /> KI FF63311 <br /> G Davis, CA 95616 ` 3 3 1 ' <br /> Analytical uc Lab: 530.297.4800 SRG#/Lab No. Page 1 of 1 <br /> y Fax 530.297.4802 - <br /> Project Contact(Hardcopy or PDF To): Califomia EDF Report? Flyes ❑No Chain-of-Custody Record and Analysis Request <br /> Maureen Wunderlich <br /> Company/Address: Huff 8 Huff,Inc. Sampling Company Log Code: Analysis Request TAT <br /> 915 Harger Rd, Ste 330, Oak Brook, Illinois CESC m ❑ <br /> Phone#: Fax#: Global ID: N 12 hr <br /> 708-579-5940 708-579-3526 SLIS6142972 <br /> Project#: P.O.#: EDF Deliverable To(Email Address): :Z1 24 24 hr <br /> 7c./�_p�ces mwundedich huffnhuff.com LL 0 <br /> Project Name: r Signature: a n El @ <br /> French Camp Grain Elevator J <br /> Project Address: Sampling Container servative Matrix o a L) 48hr LL <br /> 8504 South Harlan Road o a <br /> U W A ❑ <br /> French Camp, CA a e 72 hr <br /> 0 ° d <br /> E mrA � ti � � � — o W D <br /> I <br /> 1 wk <br /> Sample Designation Date Time rn a° r7 i = i = 3 r°n < >' 'o v z <br /> MW-10B 3 3 A, 3 1 1 ti x I I x I x I x I 1 wk Oil <br /> EW-11 B $$� 3 10 3 1 x I I x I x I x 1 �11 wk OZ <br /> MW-3B /5 3 A 3 1 x I I x x x 0=l <br /> MW-48; I J2211 131 1 3 x x Q <br /> MW-56 12-30 3' 1 3 1 x x k �� <br /> MW-9B '215— 3 I 3 I 1 x x x <br /> arc_ UQ I <br /> 67 <br /> Relinquished by: Date Time Received by: Remarks: <br /> cc Linda Huff 8 Jason Brown on the analytical. cc Linda Huff on the EDF <br /> report <br /> Relinquished by: gate Time Received by: <br /> Bill to: <br /> Relinquished by: Date Time RecghV by Laboratory: 1L y For Lab Use Only: Sample Receipt <br /> p. rTemp°C Initials Date Time Them.I�Presem <br /> 6(0�OUs �p� 1-�'d /.L O O e / No <br /> Distribution: White-Lab;Pink-Originator <br /> Rev: 051805 <br />