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r r ■r r it rr r ■■� rr rr r■ rr r r r r r <br /> 720 Olive Drive, Suite D <br /> .�� Davis, CA 95616 <br /> Lab 530 297 4800 ` l <br /> ANALYTICAL eec Fax 530 297,4803 Lab No ll v Page of <br /> Project Manager Phone No <br /> -Z" /y 3 Chain-of-Custody Record and Analysis Request <br /> Company/Address FAX No H For Lab <br /> v - %�;} - Analysis Request Use only <br /> Project Number <br /> Number P O No 1P/roject Name WET(x) <br /> ^n 9 c5- Y <br /> � TOTAL(X) ,�.. <br /> Project Location Sampler <br /> /r Signature <br /> Container Method cli <br /> g a s Z <br /> Sampling (Type/Amount) Preserved Matrix2 � ° N <br /> O CCIS — C m <br /> 0 & U' S o -2 1 m m N v <br /> 0 N Gp0 0 2 6C1 d Oct N d O N <br /> H! N N N h N <br /> Sample o Z r _ U <br /> C) -.i U z W 0 ¢ H a d O 0 0 o a Qy v N <br /> Designation Date Time v sn z r z m m ti � W W <br /> (� - <br /> lot wq <br /> 17 <br /> An Ing (� - 2 " <br /> tL-L <br /> �v+w <br /> Relinquished by Date Time Rete b � 1=V !'tj Remarks <br /> 2,, plf 1130 <br /> Relinquished by Date Time Received by Email address <br /> ❑ doc ❑ As ❑ txt ❑other <br /> Relinquished by Date Time Received by Laboratory Bill to <br /> Distnbution White-Lab Yellow-File Pink-Onginator COC fib(9198) <br />