Laserfiche WebLink
4 <br /> 2795 2nd Street, Suite 300 <br /> &ANALYTICAL <br /> Davis,CA 95616 <br /> LLC Lab 530 297 4800 <br /> Fax 530 297 4908 <br /> PLab N. Page—Lof,,,�,___ <br /> roject Contac Hardcopy or PDF 70) California EDF Re�ort� [XYes ❑No <br /> S Chain-of-Custody Record and Analysis Request <br /> Company/Add ess <br /> ` Sampling Company Log Code <br /> Analysis Request <br /> PPr <br /> e No Global ID <br /> ��34—�[ FAX�1 — �r z <br /> ra � 3- � oo � � � m m <br /> ct tuber PO No _ to <br /> l d � V�� �� �D�Deliverable To(Small Address) � �o m T.4 <br /> m rnitONeNVIt{mv►IeN •bt6� m o O <br /> Project Name Sa pl ignaturer �, N m m N a <br /> U S P - ll Q Lu W 0 m W a <br /> Project Address , Q m = i N o J 2 ~ ti <br /> ST11q')/�fJ 1T7�—L Sampling rContalner Preservative MaMx _ F V N - 4 N t W <br /> I 'V Yc/I V •V T N s o m m —CQ .�D CD '�_. v u N 0 CO <br /> Q m m 10 90 m C 7 m Q= m aa �' m m m m Z L k.Ill W a w Sam le Desi nation ° W z T °Date Timez z v z rW a a 0- o 0 0 o m oa o <br /> m F F H iA n 4n ti J til <br /> 2 'C <br /> P <br /> X d <br /> " <br /> X X <br /> w r 13S <br /> Rehn ed b Da Time Recenred by Remarks <br /> 61 <br /> Relrnquts ed by Date Time- <br /> 'I•arnp•Cs-f Therm IDO /P-1 <br /> Initial �i4 <br /> Relinquished by Date Time Received by Laboratorya 7V <br /> D�L3•r ��� ` //r 8dl to CooleM�p/nseM• I No <br /> Disrnbuhon KIWO Lab Prnk-Ongrnator 71 <br /> ! t fWY <br /> Formsfcoc 121001!h9 <br />