Laserfiche WebLink
r r r r r �■■ �■■ r r r rr r r r <br /> 2795 2nd Street, Suite 300 <br /> /FF Davis, CA 9561 <br /> Lab 530 297 4800 �] <br /> ANALYTICAL eec Fax 530 297 4808 Lab No '5 Page__1 of <br /> f <br /> Prrolpct Contact(N r copy pr PDF To) California EDF Report? LJ Yes ❑No <br /> Chain-of-Custody Record and Analysis Request <br /> Compa yl ddre s �LOtr(//� ��fV� f Recommended but not ma to corriplate this section <br /> Sampling Company Log Code Analysis Request h <br /> hone No No I Global ID o <br /> 17 E � m ,� <br /> Project Number PO No EDF Deliverable To(Email Address) 00_ -XEV0X° <br /> /.. m O LLi LLi LL! N X <br /> Pr ct Name Sampler Signature gyp° o - y y m o L N <br /> Protect Address _ o � t W <br /> aa �f Sampling Container Preservative Matrix ro N <br /> �✓e eh I m i7 v� o F RRi CO C > v a N O <br /> 03 <br /> d0 w o = m o m ro N a i COo N Li. <br /> > > y 1 ° N N W Q `M V N N ^ N <br /> UJ � uJ W J X lG N C7 T T m <br /> oLU <br /> U zZ V O Q p a a a o 0 0 0x a o aror N <br /> Sample Designation Date Time v cn x x _ z v, m m -+ w > <br /> Reli ed ate Time Received by Remarks <br /> Relinquished ate Time Received by <br /> Relinquished by Date TimeR ei ed by Laboratory Bill to <br /> /� ter , <br /> Oistnbution White-Lab Pink-Onginator Formslcoc 121001 th9 <br />