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.�� 2795 2nd Street Suite 300 <br /> Davis, CA 95616 !-ab NoIf <br /> Lab 530 297 4800 Page of <br /> ANALYT/CAL L,tc Fax 530 297 4806 <br /> Project Contact(Hardcopy or PDF To) California EDP Report? ❑Yes El No Chain-of-Custody Record and Analysis Request <br /> Company r Address ecommended but not mandatory to complete this section Analysis Request F- <br /> Apex Envlratech,Inc Sampling Company Log Code Q <br /> 11244 Pyrites W ,Gold River,CA 95670 <br /> APEF ❑ <br /> Phone No Fax No Giobai ID m <br /> 916-851-0174 916-851-0177 u' w 12hr <br /> Project Number P O Na o w <br /> i EDF Deliverable To(Email Address) <br /> co 1t o f 00 1 m m o m o 24hr c <br /> LU <br /> Protect Name. Sampler w �m @ N ❑ <br /> cc 48hr <br /> S <br /> R� Signature <br /> w a o � w <br /> m m a 0 <br /> Project Address Sampling Container Preservative Matrix �_ m x z J = 72hr 3 <br /> 37$� N1UN fiU�� ; a s ry e.i n o N <br /> t7C KTa►Jq 5z1Jr �v � a m -yR ctl S w d = m ° N i wk <br /> m <br /> Sample > ; <br />