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i <br /> 2795 2nd Street, Suite 300 <br /> Davis,CA 95616 <br /> Lab: 530.297.4800 <br /> IPA 84 <br /> NALYTICAL LLC Fax: &0,297,48 Lab No.2 7 L-N Page—tof <br /> Pro ect Contact(Hardcopy or PDF 70): California EDF Report? ❑ Yes T No <br /> t� Chain-of-Custody Record and Analysis Request <br /> Company/Address:t-69 lbaaonrnend®dtatnot b tliawdlarr <br /> • Sampling Company Log Code: Analysis Request <br /> annfv6- G <br /> Phone No.: F o.; Global ID: °0 v <br /> pp o a <br /> as N N �^ <br /> roje Numbe/r. PD. No: EDF Deliverable To(Email Address): M m Q <br /> . f 1 <br /> 34—-C 0 yu�S F n 00 's O <br /> Pr ' Name: Sam ler SI n 2 m m a `- <br /> fG► V`� 1�� P to w <br /> mW L� C� a w Q <br /> Project Address: = x N <br /> Sampling Con i er Preservative Matrlx in o g n V ,L g <br /> t L <br /> St/K-fv WC11- <br /> -Sample <br /> a=a ° � Q m m N <br /> W ea W W .J 1 N W i7 V1 C N <br /> Sam le Desi nation Date Time a vJi z U °z m m r � a ° 0 ° W yZ C4 <br /> f� rbc ��•� �� L. <br /> C 2 -q o 1030 5 0� <br /> 3 ~� <br /> L9 5 s a� <br /> CPQ 3 <br /> Relinquishby: V.,,�r _p Time Received by: Remarks: c�-,, F <br /> 03 15q.- <br /> Relinquis eb by: Dale Time Received by: <br /> Relinquished by: Dale Tune Received by Laboratory., Bill to, <br /> M&A9- <br /> UstriftWon: White-Lab, Yefk„v-File,Pink-Originator Forq3km 121001.lh9 <br />