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2795 Second Street, Suite 300 Calscience <br /> I<IFF Davis, CA 95618 7440 Lincoln Way Qf7 <br /> Lab: 530.297.4800 Garden Grove, CA 92841-1427 <br /> Analytical «c Fax: 530.297.4808 714-895-5494 COC No. 75051 Page 1 of 1 <br /> Project Contact(Hardcopy or PDF to): EDF Report? YES Chain-of-Custody Record and Analysis Request <br /> Troy Turpen <br /> Company/Address: Recommended but not mandatory to complete this section: <br /> TAT <br /> Sampling Company Lo Code: SIRCKiffAnalytic.. Analysis Request <br /> Phone No.: FAX No.: Global ID: <br /> 530-297-4800 530-297-4808 SL0002050099 <br /> Project Number: P.O. No.: Deliverables to(Email Address): o <br /> 211402828.300.250 75051 inbox(�kiffanalytical.com a o <br /> Project Name: Container/Preservative Matrix W Cn y <br /> Parcel#2A-4Q10 Monitoring and Sampling Event <br /> Project Address: Sampling o m J <br /> z o <br /> o <br /> LL <br /> Sample E > <br /> _ <br /> Designation _71 `° <br /> 9 Date Time � � <br /> MW-9 10/21/10 10:40 21 1 X X X 1 <br /> MW-16 10/21/10 10:05 2 X X X 2 <br /> MW-20 10/21/10 06:20 2 X1 X X 4j <br /> MW-22 10/21/10 05:50 2 X X X q- <br /> MW-54 10/21/10 12:10 2 X X X S <br /> MW-55 10/21/10 14:15 2 X X X1 I (o <br /> MW-65 10/21/10 14:30 2 X X X <br /> MW-72 10/21/10 09:10 2 X X X g' <br /> Relinquished by: �� � Date Time Received by: Remarks: Parcel#2A project has special pricing for <br /> Cpl OZf D 10'DSVOCs of$185 per sample. <br /> lin shed by: Date Time Received by: <br /> Relinquished by: D to Time IRecelved8 <br /> y La oratory: Bill to: <br /> ©ma c %- J Accounts Payable <br />