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2795 Second Street,SVite cud <br /> KOIFF Davis,CA 951318 3249 Fitzgerald Road <br /> Lab: 530.297ABa0 <br /> Anal tjEal LLC Fax: 530.297-48013 Rancho Cordova,CA 95742 <br /> 916-638-7301 COC No. Page ( of 1 <br /> Project Contact(Hardcopy or PDF to): EDF Report? YES Chain-of-Custody Record and Analysis Request <br /> Troy Tureen <br /> CompanylAddress• aeao MdedbLF .btr d.t.gtocom pletethI s Uc : <br /> Sampling Company La Cade: Analysis Request TAT <br /> KIfFAnalyttcal s 5[RC Y � <br /> Phone No.- FAX No.: Global ID: SLO607737442 <br /> 530-297-4800 530-297-4808 <br /> Project Number: P.6.No.: Deliverables to(Email Address): <br /> 21160100-7.301.5tZ TBD Pnbox(ftiffanal ical.com <br /> Project Nam e: w <br /> ContainerlPreservative Matrlx Ca m <br /> 1010 Monitoring and SamplingEvent-STTC M <br /> Project Add ress Sampling UJ J <br /> Sample v <br /> Designation date Time 's <br /> R MW-58 7)z)lo tWao IX I I x Ix <br /> mw-°?, I IN 15 11 1 1X ]� <br /> Relinq 'shed y: Dale Jimie <br /> Rewlved by: Remarks: Please provide an Excel formatted <br /> xiL)Id spreadsheet of the data and an EQuIS <br /> Relinqulshad by: Dale Received by: formatted data deliverable as well_ <br /> Relinquished by: Dale Recelved by Laboratory: Bill lv: <br /> _ Id Accounts Payable <br /> Page 2 of 2 <br />