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4080 PIKE <br /> LANE, SUITE <br /> GTEL CONCORD, CA 94520 C AND ANALYSIS)REQUEST HU z b r t 9 <br /> ( <br /> I <br /> e V I R O N M f N r A l 510) 685-7852 <br /> l�ROO�IORlF 1. INC (800) 423-7143 <br /> (_ . <br /> mpany Name: -� Phone N: c�f�.— �'7 Z— -700 <br /> C((/h�llt(�LV /{/!1/]b/UC/Y ,_1/9C'. FAX M: �IZji -371 -- 9'7£S I ❑ <br /> mpany Address: Site location: -%561 Qom/-S l7/tr ry �1 Ve w ❑ <br /> /ff� 7r�/>. S></�D klS�cr�ri�rci, lU 0Ck/acl Ci91 o ° ° d $ ° <br /> eject Manager: r Tient Project ID: (N) I5- 00 .3 N `+ Q U ❑ .� <br /> NAME) (LQfio — 76-0 rC.YSL7/NI m ❑ 0 ❑ T z z ❑ � ❑ <br /> tlest that the proper field sampling Sampler Name(Print): �' / 5 o r_S of $ E ❑ ❑ g 'E S ❑ o ❑ <br /> rcedures were used during the collection ✓4 5001 H, �LIe�( 3 � f " ❑ „ � ❑ ❑ <br /> (hese samples. o o r? na o_ g a o m ❑ a `^ ❑ a <br /> e <br /> ❑Method ° <br /> Matrix Prympling 2 a91 cl <br /> a❑Field GTEL o <br /> ❑ ❑ <br /> Sample Lab # w v 0. ° `� g ❑ ❑ m a u o° m a ° <br /> ID (Lab use only) v ¢k o 'o w i � w a w x g a 8 3 $ 0 3 a <br /> a o ¢ a z R m o a a a a a a a a o a a te„° rn <br /> 3 m a m x O IL w [b w w u1 w w w w F w U � O cg <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS <br /> Cil Ex iPH- L. ey <br /> riorlly(24 hr) ❑ GTEL Conlad <br /> xpediled(48 hr) ❑ Ouote/Conlracl/ <br /> Business Days ❑ Confirmation s <br /> 1Iher PO/ SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot N Storage Location: <br /> ''usiness Das ❑ <br /> OA/OC LEVEL <br /> W E❑ CLP❑ OTHER FAX❑ Work Order N <br /> elfin fished by Sampler• .-- ale Time Received by: <br /> 01Y. � ; :;3 15 15 Ch Anna w� es+- 6 2�1 ��3 <br /> CUSTODY nqulshed by: Date Time Received by: <br /> RECORD ' Relinquished by: Dale Time Received by Laboratory: <br /> 7191 Waybill N <br />