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IIIII� � � � I♦ ti♦ � �■! tltiLiitl� � ■■■� e, � .... .... <br /> 720 Olive Drive, Suite D <br /> .�� Davis, CA 95616 <br /> Lab 530 297 4800 2 <br /> ANALYTICAL Fax 530 297 4803 Lab No t���� Page ,; of J <br /> Project Manager Phone No <br /> is Chain-of-Custody Record and Analysis Request <br /> Company/Address � FAX Nom. 0 - r For Lab <br /> (814etiY ��" Analysis Request F use only <br /> Project Number PO No Project Name o o WET X <br /> to ( ) Y <br /> m co co <br /> 2 TOTAL.(X) N <br /> Project LocationSam ler Signa e Q <br /> d2f-_!� LU <br /> Container MethodN <br /> Y .. <br /> Sampling (Type/Amount) Preserved Matrix co — a a N N N <br /> of O I. t S °.° az t <br /> caOD <br /> (!) Q p H 0 N .Qy.. .d. Q <br /> QJ O <br /> ° g c� w 0) 0 ID <br /> Sample 0 E o i � � � � � � � � � � V � N <br /> s a- ¢ aCc <br /> Designation Date Time a 0 i i z ago an � r U) o LO o u w 0 <br /> DP- 5-- l � t� <br /> I Z' <br /> 0-P-- S7-- Sb `�3l� 51C o ?� ZL <br /> I <br /> LL <br /> Ref quished b�yn Date Time Received by Remarks <br /> Relinquished by Date Time Received by Email address <br /> )-13-00 V�30 ❑ doc El As ❑ txt ❑other <br /> elmq fished by Date Time Received by Laboratory Bill to <br /> 1-13-00 <br /> 1930 <br /> Distnbution While-Lab, Yellow-Fife,Pink-Originator COC th8(9/98) <br /> I <br />