Laserfiche WebLink
2795 2nd Street, Suite 300 <br /> •�� Labls5CA 95616 <br /> 30 2297 4800 <br /> ANALYTICAL LLC Fax 530 297 4808 Lab No ✓� Page of <br /> Project Contact(Hardc py orP <br /> ZF To) California EDF Report? LI Yes ❑No <br /> Chain-of-Custody Record and Analysis Request <br /> M Q t G <br /> Com any/A dress Recommendedb utFxt tocom thissedion <br /> 2Za I'ec'i-c� �G'- _ Sampling Company Log Code - Q <br /> C/ `, �� (fAl Analysis Request <br /> Phone No FAX No Global ID m x <br /> N <br /> 00 <br /> CO Project Number PO No EDF Deliverable To(Email Address) ° � <br /> S� 3-�(-d( o W N V Y <br /> N 0 H f-- N CO � � 0 <br /> Project Name Sampler Signature "' ° m m _ m m W <br /> f� �j� L�'>G � (aC'oC0 m [9 c9 m N ¢ y N <br /> CO� � H = _ � N U <br /> Project Address `v J 0 <br /> o <br /> N m <br /> Sampling Container Preservative Matrix y <br /> Q N rn <br /> 0 LU <br /> LL a 0 2 C C C =yN` m m NW 1 eu 9 T <br /> X >1 X <br /> p U Z O Q O M a a a O O O O m a v L <br /> Sample Designation Date Time �r Cil x s v z m m F- W � � w D <br /> �'dQ CIA <br /> ti I <br /> Relinquis ed b ate Time Received by Remarks <br /> L p� g;Dp <br /> Relinquished by Date Time Receroe by <br /> Relinquished by Date Ti eceiv by Laboratory 8dt to <br /> 3 IIS � <br /> Distnbution White-Lab, Yellow-Fife Pink-Onginator Formslcoc 121001 M <br />