Laserfiche WebLink
720 Olive Drive,Sude D <br /> .�� Davis,CA 95816 <br /> Lab 530 297 4800 <br /> ANALYTICAL uc Fax 530 297 4808 tab No Page 01 <br /> Project Contact(Hardcopy or PDF To) California EDF Report? ❑ Yes []No Chain-of-Custody Record and Analysis Request <br /> Company/Address Imoatrrn,rxlxtbutnat to thbwdto�e <br /> A VAI-0 N 13 r Al fieri w/ 41/,C- <br /> Phone <br /> U sampling Company Log Code j 0 a <br /> Analysis Request <br /> Phone No FAX No Global ID <br /> V S36 41, 3A 7YI 93,5 O yA D 6 0 7 7 0 0 S cl 7 $ � 3 <br /> Project Number PO No EDF Deliverable To(Email Address) X -- m 2' <br /> ia 'u5 W p <br /> Protect Name Sa pier Signature ,y�/� �� tu o w gs <br /> m .a N a <br /> Project Address O P Sampling C talner Preservative Matrix is b o <br /> a � n a t LL <br /> � LU w w , 2 (3 A <br /> O Z co <br /> a x x x m a r <br /> Sample Designation Date Time v -wJ = _ z R. 0m r- La <br /> w — ! •SIS d Z <br /> 07 <br /> (Al - 6 �!-�� oe <br /> p:3! 08 <br /> ID 1q 0 <br /> x, 0 _ 3 10. !n <br /> Relinquishedby Date Time Received by Remarks <br /> 44W <br /> Relinquish Date Time Received by <br /> R by Date Time Re"by Laboratory Bill to <br /> Distnbukon White-Lab Yedbw-Frte Ank-Ong+nator Farmslooc 121001 Ih9 <br />