Laserfiche WebLink
2795 2nd Street,Suite 300 <br /> .�� Davis,CA 95616 <br /> Lab 530 297 4$00 <br /> Fax 530 297 48oa Lab No 76777 page_L of <br /> ANALYTICAL ccc <br /> Project Contact(Hardcopy or PDF To) Califom+a EDF Report? ❑Yes ❑No <br /> Ogt4kw 'T` Q Chain-of-Custody Record and Analysis Request <br /> Company/Address <br /> Sampling Company Log Code F- <br /> - .0 Analysis Request w <br /> Phone No FAX No Global 1D m x <br /> 372-��3 zfa� Z $ a N <br /> Project Number P O No EDF Deliverable To(Email Address) m o <br /> Pro ect Name00 31 0 <br /> N m m Q r <br /> Sam ler Signature r m CL <br /> cow, —F W Q W m m66 LU <br /> O � L� m0 W 4 in m ry <br /> Protect Address m ~ a a R �o N <br /> Sampling Container Preservative Matrix m _ a e A W N ; r <br /> N v o <br /> 0 o S m m y c = N r IL <br /> E LUj 6W U1 J X m N [7 O� m N m y N <br /> Sample Desi nation Date Time u, z z 0 z a a a o m o <br /> m m H N n f(1 A J W J <br /> M� Tr <br /> _MW 3 bz <br /> - M &V 6`4 <br /> Ai �- <br /> + t J <br /> M k) iU(V <br /> M tv I -I-F-4 <br /> U7 <br /> Mw �� <br /> Relinquished by Dale Time Received by Remarks <br /> g-- C �Q" l <br /> RelinquisAed by Date Time Received by <br /> Reli Date TimeR ed by Laboratory Bill to <br /> IGZ9 /FZa '' ?7i <br /> DvswbuLon WhNe-Lab Ank On"ator Formslcoc 121001 fh9 <br />