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TiA <br /> �� Davi 2nd Street Suite 300aavis,ca 95615 �,73Lab 530 297 4800 Lab No Page 1 of 1 <br /> NALYT/CAL ccc Fax 530 297 4808 -- — <br /> Project Contact(Hardcopy or PDF To) California EDF Report? ❑Ye, E]No Chain-of-Custody Record and Analysis Request <br /> Rich Johnson <br /> Company/Address emmmended but not mandatory to complete this section Analysis Request Q <br /> Sampling Company Log Code <br /> 11244 Pyntes Way Gold River,CA 95670 _ <br /> Phone No Fax No Global ID 00 <br /> Q 1 2hr <br /> (916)851-0174 (916)851-0177 <br /> r m w <br /> Project Number P 0 No EDF Deliverable To(Email Address) $ m o 24hr ?• <br /> SPB01 001 COH01 007 r ohnson a exenvlrotech corn M W CO w C O p <br /> Protect Name Sampler o a m Co v N a �, <br /> COHN Property Signature w � m v w F 48hr j <br /> W o p <br /> Project Address Sampling Container I Preservative Matrix z = -J ~ 72hr <br /> 0. d N i7 N <br /> 3755 Munford Avenue Stockton c Q � t °�° �`! : M O p` <br /> CA 95215 QO m m o m m d m m m o N 1 Wk <br /> W tr m a n iv c c c 8 r n • <br /> Sample > W } l�tJ g r, w w J D, a C7 m 0 0 m V <br /> p J O iLuu U z 0 O Q D ad ti H d a d Ox 6 6 6 � Q `° � O <br /> ea <br /> Desi nation FPT Nam Date Time cn a ¢ � z z z > m m M r F 0 � w A J w > <br /> THOXEFF VEFF q.Z-Q, t 1$ X I X I I X X 1 wk -01 <br /> THOXINF VINF -Z GS (2Zo X X I X X 1 wk `0 <br /> EFT <br /> Relinquished br Bate Time Received by Remarks <br /> 2Z-69 1640 <br /> Relinquished by Date Time Received by- <br /> Relinquished by- Date Time Receld by La atory Bill to <br /> dL- 144D <br />