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INK 3050 Industrial Blvd, S <br /> West Sacramento,CA 95691 y�.�� <br /> Tel:916372 1434 Lab No. r��7 c 1/Z Page Z of <br /> swSSm g� Fax:916.372 2565 — <br /> Project Contact(Hardcopy or PDF To): <br /> Darcie Forma California EDF Report? ��Yes Ll No Chain-of-Custody Record and Analysis Request <br /> Company I Address: Recommended but not mandatory to complete this section: Analysis Request Q <br /> Sampling Company Log Code: <br /> see above WKAS 12Hr <br /> Phone No.: Fax No.: Global ID: U <br /> 372-1434 SL0002050097 Hr <br /> 24 <br /> Project Number: P.O.No.: EDF Deliverable To(Email Address): 24 <br /> 6278.03 a wallace hl. <br /> Project Name: Sampler o 48Hr O <br /> Morton Op.unit Signature: m m o <br /> m <br /> Project Address: 6arnpling On ainer F72 Hr <br /> reS rVatlVe Matrix N �° g m <br /> o O <br /> Stockton 4 J o m y y a 6 0 1:K <br /> vE w- OoSample WoE <br /> m <br /> o u <br /> a ZW <br /> K w ww <br /> a m p zcn W x u O <br /> J _ ZvO m ¢ O w = _ ° y Designation Date Time v o > ov <br /> MW6 11/14/2006 12: 6 1 2 x x x I x x x x x x x x x x 1WK ell <br /> 2AM W-15 11,14,2006 r L r s 6 , 2 X X X X X X X X X X x X X 1WK O Z <br /> 2BMW-1 11/14/2006 f1 35 6 1 2 X X x x x x x x x x x x x 1WK a 3 <br /> RN1 11/14/2006 10 1-16 x x x X X x X X 1WK Dy <br /> RN2 11/14/2006 11100s x x x x X x x x ,WK a5 <br /> Reli by: n Date Time Received by: Remarks: <br /> 2/07 17 <br /> Relinquished y: Date Time Recelved by: <br /> Relinquished by: Date Time Received by Laboratory: Isill to: <br /> 01057 7y� l <br />