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2795 2nd Street Suite 300 NEW <br /> .FF Davis,CA 96616 , <br /> Lab 530 29T 4800 Lab No Page of <br /> ANALYTICAL r.Lc Fax 530 297 4808 <br /> Project Contact(Hardcopy or PDF To) Cafifomia EDF Report? p Yes 0 No Chain-of-Custody Record and Analysis Request <br /> Rich Johnson <br /> Company I Address ecommended but not mandatory to complete this section Analysis Request ~ <br /> Apex Envirotech,Inc 11244 Pyntes Wy.,Gold Sampling Company Log Code -- <br /> River CA95670 Q <br /> Phone No Fax No Global ID 12hr,� a <br /> 916 851 0174 913 851 0177 a co _ w O <br /> Co <br /> Project Number PO No EDF Deliverable To(Email Address) m M m m 24hr <br /> -, m <br /> COH01 001 rich nson a exenvirotech corn m o 8 49 LU Q o <br /> Project Name Sampleri CO ° N ¢ 48hr <br /> Cahn Property Signaturej'1'1 L „h/�, w iy m M <br /> M u co co 0 0 0 o a �, �, O a <br /> Project Address Sampling Container Preservative Matrix o a a N N 0o $N 72hr <br /> co !SN w m w � " 8 "' O LL <br /> 3755 Munford Avenue Stockton,Ca a0 �:, O R a N 1 wk <br /> > t1' cr of a��o ns m m m m _ Q <br /> Sample m g O z LU O , o c7 pO ;M N � e <br /> Designation FPT Name Date - Tlme v ai a ¢ H z U z > m o a. O O O w j m O <br /> THOX-EFF EFF 010,DSI1 Y(;0 • 1 wk Oil <br /> THOX-INF INF /ylU 1 wk <br /> i <br /> Ell <br /> Relinquished by- Date Time Received by Remarks <br /> Relinquished by Date Time Received by- <br /> Relinquished <br /> yRelinquished by Date Time Rec ved by Lab atony y, .l,f Bill to <br /> 1t71�0 <br />