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CHAIN-O <br /> 4080- Ptice Lane ANDtAI FY US EDY RECORD - � <br /> Concord C*94520 800-54 3422(In CA} .Y Q`U'CS.T T 2— 13 6 J _� CUSTODY,RrE.Cva% <br /> .R .: <br /> '1 t O N if r N(A l 415&161962 800-423=7143(Outside CA) <br /> tAioiAroeirs. INC ANALYSTS REQUEST <br /> PibftfMarnager. Phone#:[�tEa. 3��`4�� Cl17 <br /> n <br /> C, ` _ FAX#: r¢i o UJ UJ <br /> O n <br /> Addfess: <br /> Su•�t A,0 Sits location vpc:� SCCA ❑ ❑ ❑ d r <br /> A Q��a�� �(. W. SQrrn�0 nf$IoK w <br /> PraecE dumber- Project Name: 2 m a �.; occ <br /> 3 ��emo'1 a� m o ° " mF 4 V <br /> 1 altel that the proper field sampling Sampler Name(Print); o ❑ n N 2 ° ❑ E <br /> { duWs were used during the collection T. n 2et <br /> ° 4 <br /> of fe samples. U v r ❑ ❑ ❑ O ❑ CIa ° m C-3ro <br /> I di Source GTEL a Ma#rix Me#hod Sampling ° N ro o �° ❑ ;) N f° " C <br /> ❑ <br /> of Lab# Prserved cc m (0 CO w 00 m co Cl <br /> 13 <br /> 13 <br /> ° .• <br /> Sample (Lab us* a m A <br /> .v0as ,wa <br /> only) 2 rlr O a a co o 2 a D a <br /> ° 0 m <br /> V LD <br /> xW <br /> .0b41O2 'tu Ld � � m- n > > a <br /> W 0 <br /> a u ' a o O m a w xuv <br /> UJ w � U U a) aw' <br /> -- - - - Ac 12aQm o <br /> SPECIAL <br /> HANDLING <br /> SPECIAL <br /> DETECTION LIMITS(Specify) <br /> REMARKS.- <br /> 24 <br /> EMARKS:24 HOURS ❑ <br /> 2 <br /> EXPEDITED 48 Hours ❑ E <br /> SEVEN DAY ❑ <br /> A �C] <br /> OTHER (#) BUSINESS DAYS <br /> QA/QC CLP Level❑ Blue Level ❑ —_—___._..___..._._._._- _...--.------ --•---._ _ _ <br /> SPECIAL REPORTING REQUIREMENTS Lab use Only storage Locatlon y <br /> FAX ❑ (Specify) CT c a <br /> Ma FJ I L E L Aa oN 5 i r E. Lot #: Work Order#: •5 C <br /> • a Cr <br />