Laserfiche WebLink
f <br /> 720 Olive Drive, Suite D <br /> .�� Davis, CA 95616 <br /> Lab 530 297 4800 i <br /> ANALYTICAL LLC Fax 530 297 4808 Lab No Page ! of <br /> Project Contact(Hardcopy or PDF To) California EDF Report? ❑ Yes ❑No Chain-off-Custody Record and Analysis Request <br /> Company/Address '} "� ' ` Reoortnnerdedtxitrwtmandalo loco teteti�issadion <br /> Sampling Company Log Code Analysis Request Y <br /> Phone No FAX No Global ID <br /> Project Number PO No EDF Deliverable To(Email Address) 2 N�. ° m mo vV ?� <br /> 04 O <br /> Project Name Sampler Signature W o W W UPo _ (Lin <br /> o r <br /> 00 W <br /> Project Address L,)t� f Sampling Container Preservative Matrix m c� o ' N m 0 N N v o <br /> Q 04 r <br /> X <br /> d C y@, yC, m = N ` L LL <br /> O m W W M F rn m <br /> m m id C7 }i X CO N <br /> _ _ X a Y7 L <br /> o f U Z U Q a 0 a a a O 0 0 Q m a o m n <br /> Sample Designation Date Time a u) = z _ z rn m� � i- � 4D � -J > <br /> N <br /> t <br /> t S 41� I� • F <br /> r + <br /> Relinquished by Date Time Received by Remarks <br /> Relinquished by by Date Time Received by <br /> Relinquished by Date Time Received by Laboratory i t` Bill to <br /> i <br /> Adak link <br /> Oistnbution OW Lab,Yellow-File,Pink-Originator lcoc 121001 fh9 <br />