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2795 Second Street, Suite 300 Calscience <br /> KIFF Davis, CA 95618 7440 Lincoln Way t\ <br /> Lab: 530.297.4800 Garden Grove, CA 92841-1427 17 7 <br /> Analytical LLC Fax: 530.297.4808 714-895-5494 COC No. 75042 Page 2 of 2 <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 TAT <br /> . Phone No.: FAX No.: Global ID: SL0002050099 <br /> 530-297-4800 530-297-4808 <br /> Project Number: P.O. No.: Deliverables to(Email Address): Oa <br /> n <br /> 211402828.300.250 75042 inbox@iffanalytical.com 'E <br /> Project Name: container/Preservative Matrix W CD o <br /> T <br /> Parcel#2A-4Q10 Monitoring and Sampling 8 <br /> Project Address: Sampling `o 12 <br /> z o 0 <br /> UL <br /> Sample E > <br /> Designation Date Time J <br /> MW-64 10/20/10 12:06 2 X X X k <br /> MW-66 10/20/10 13:15 2 X X I I X <br /> MW-67 10/20/10 07:55 2 X X X <br /> MW-70 10/20/10 08:25 2 X X X l <br /> MW-71 10/20/10 11:20 21 1 X X X <br /> MW-73 10/20/10 15:15 2 X X X <br /> MW-74 10/20/10 10:00 2 X X X <br /> Relinquished by: Date Time Received by: Remarks: Parcel#2A project has Special pricing for <br /> /Oz//o lqv I SVOCs of$185 per sample. <br /> Relinquished by: Date Time Received by: <br /> Relinquished by: F771 <br /> Time Received by Laboratory: Bill to: <br /> Accounts Payable <br />