Laserfiche WebLink
,NEW 'Row <br /> 2795 2nd Street, Suite 300 <br /> Davis,CA 95616 � <br /> Lab 530 297 4800 <br /> ANALYTICAL «c Fax 530 297 4808 Lab No i s V Page_L of <br /> Project Contact(Hard opy or PDF To) California EDF Report? E] Yes 0N <br /> q � Chain-of-Custody Record and Analysis Request <br /> Company/Addres Gevco�I O/Jla �/J' Recommended but not mandato tocomplete ffmsecbm <br /> sampling Company Log Code Analysis Request <br /> L I've elmme C/f <br /> hone No FAX No Global ID m x <br /> 0 <br /> m m CO � <br /> zf 7-s 40 a o N w <br /> N N <br /> P�tD t Number PO No EDF Deliverable To(Email Address) �_ `° m o �+ <br /> a f m 4 xx Ui N X <br /> N CO W I N � ¢ a <br /> Prole t Name 4 04 <br /> 12 Ch // gnat ao CID <br /> amp o `� m m 06 w ° L y <br /> /60 <br /> Project Address — a a ? =� 0 N sa <br /> Sampling Container Pr servative Matrix � o , �, CO L -. <br /> N o v m m m �- L o n v o` <br /> 0 W a� m c c c c > a N t LL <br /> / m W m U rn rnCO <br /> fA N v cvv <br /> o U CO <br /> z U O Q O v F a a a O O O O m a o m CIJ <br /> Sample Designation Date Time cn x x _ z cn m m h ti ti w > <br /> .� <br /> Rehn � d by '�to Time Reces 'ed by Remarks <br /> Relmq hed by Date Time Received by <br /> ROin�uished by / Date Time Received by Laboratory 't//�j Bill to <br /> Distnbution White-Lab Pink-Ongmator f Formstcoc 121001 fhg <br />