Laserfiche WebLink
2795 2nd Street, Suite 300 - <br /> Davis, A 95616 <br /> 9 <br /> Lab5 Q4800 <br /> ANALYTICAL LLC Fax 530 297 4808 Lab No t- c. -11 Page <br /> —Lof 1 <br /> Protect Contact(Hardcopy or PDF To) California EDF Reports A Yes El No Chain-of-Custody Record and Analysis Request <br /> T <br /> Company/Address #% JJJL N tnat ithils <br /> 16- <br /> .;got Rzuvec; mei. 1w Sampling Company Log Code Analysis Request F <br /> %tcgo _ _ <br /> hone No F No Global ID x <br /> 96 y� , 4�� 6 =885` - - $ S 8 C <br /> 9 w <br /> rotec:t Number PO No EDF Deliverable To(Email Address) m m o <br /> cc 6 O <br /> 700 In N a ►- _ m <br /> Protect Name ampler S ature $ _ o �, ., y o N <br /> t'�'Ktr�� � o � �UI <br /> � a � <br /> Pro ect Address 3 m <br /> 1 � — N m <br /> fres Sampling Container Preservative Matrix 4 a a _n ye m� <br /> V�v C' a m 0 a s P W � w LL �y N d o <br /> n 2 .2 O m 1'o is ra a 2 N L LL <br /> w w w J COC3 2 <br /> ,mom, <br /> c i w 0 a 0 a o� o 0 o an d <br /> Sample Designation Date Time v rn = U z cn m m r F- 4n r- tr3 <br /> o 2 S X A J( p <br /> . _44 x X <br /> VAM w, L Lx x x <br /> Relinquish by Date Time R by Remarks <br /> e q ed by. Date Time Kecerved by -, <br /> W,0 Temp Ic ThMnt.Ib� 1 - <br /> p1 Irtltbl <br /> eIinqutshed by ate Time Received by LaboratM Bill to Data-Q E,02,r Tin1e�I 1 <br /> t W Ik%kti Coolant Pr"": No <br /> Formslcoc 121001 MOWnbution White-Lab Rnk-Originator � <br />