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2795 Second Street, Suite 300 Calscience <br /> KIF Davis, CA 95618 7440 Lincoln Way 3 <br /> Lab: 530.297.4800 Garden Grove, CA 92841-1427 6L 0 <br /> Analytical «c Fax: 530.297.4808 714-895-5494 COC No. 74867 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 /> Kiff Analytical Sampling Company Log Code: SIRC Analysis Request Due Date: <br /> Phone No.: FAX No.: Global ID: SLOOO2050099 <br /> 530-297-4800 530-297-4808 <br /> Project Number: P.O. No.: Deliverables to(Email Address): 21 <br /> O <br /> 211402841.300.400 74867 inbox kiffanal ical.com N o <br /> Project Name: to <br /> Container/Preservative Matrix Fn 0 <br /> Parcel 2A 3 L <br /> taa <br /> Project Address: o <br /> Sampling = CU <br /> p ` <br /> O W <br /> Sample E o <br /> Desi tiLU <br /> Designation J _ <br /> naon Date Time <br /> GW-EFF 10/07/10 12:00 2 X X X <br /> Relinq ished by: j ���� Date Time Received by: Remarks: <br /> 74�m I <br /> t/tl l®a)/p MOO <br /> Relinquished by: Date Time Received by: <br /> Relinquished by: D to Time Re�lveAd,b Lab ratory: Bill to: <br /> ®N�P.c lO9 1�� W Accounts Payable <br />