Laserfiche WebLink
MM7-4F <br /> r Mir r ■r s� r r <br /> 2795 2nd Street, Suite 300 <br /> 30 <br /> Jkj� <br /> Davis.CA 95616 <br /> Lab 530 297 4800YTICAL ccC Fax 5,30 297 4808 Lab No '-6(0 Page -Z- <br /> Project <br /> Project Contact(Hardcopy or PDF To) CallfOmla EDF Report? ❑ Ye� <br /> `�'ir4� Chain-of-Custody Record and Analysis Request <br /> C¢jnp�ylAddress paoorr.wKl@dbucnot b n:11*wdli <br /> --Z-701 �Zu `J� Sampling Company Log Code Analysis Request <br /> Phone No �j FAX 1Nx <br /> T lo Global t0 m <br /> gr y l�/(,, 7 t� CD4 N w <br /> x <br /> Project Number PO No EDF Deliverable To(Email Address) v C m T <br /> `l 5-If -t SU 1 oEU <br /> Cc Project Name Sa 1 Sign lure �' m o a o 0 <br /> S / c� t m °° is <br /> t <br /> ATL �C O _ a <br /> Project dress m a w o N m <br /> Sampling Container Preservative Matnx n a �, ry ; �, L <br /> m o � m v e <br /> 0U, <br /> W N = C~y7 m R N A C T m ID �-KD 0 <br /> H+V{ G J 4 C W V Z !~6 m (7 pl y A N <br /> Not U Z O Q O W = n a o O <br /> Sample Designation Date Time v _ z cn m F F �, ^ ,� 0 w <br /> 89 ` 6/003 .134s- 11 <br /> C s �� fba r 611x a3 �j( I <br /> I zqc} I <br /> Ii d3 Z4 IS <br /> - -� 111 07131? <br /> Ib <br /> t- 6 It 0a <br /> l T C3 L.r>-wt c -- <br /> Rel I had by Date Tirne Received by Remarks <br /> �S <br /> Relinquish Date Time Received by <br /> Relinquished by Dale Ti eceiv by La ratory r Bill to <br /> Ekstdibulmn "fie-Lab Yellow-File Ankaar <br /> fir^ fFonnslcoc 121001 Ih9 <br />