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a 4080 Pike Lane CHAIN-OF-CUSTODY RECORD CUSTODY RECOgD <br /> GTE L Concord, CA 94520 800 544 3422(In CA) AND ANALYSIS REQUEST 72- 14178 <br /> [1+v+Q O+++IFNIA L 415 685 7852 800423-7143(Outside CA) ANALYSIS REQUEST 1s <br /> EM [Aeoan[oarFs MC <br /> Protect Manager Phone# J-9-00 289 "4�ta ❑ ❑ <br /> W ❑ ❑ I <br /> p +c _ FAX# m Cl) - iv v ❑ <br /> Address Site location <br /> T i— t t-L+'u- !1'1 c-,^ S C��n t{('r S F 7 1 b a 11 m :3 �. O 21 <br /> c`[ co E o + + 0Cc <br /> —Project Number Project Name ° z� <br /> _D,Z 3 2 L? _ C�^rCy f t D�e� �S fo s ��_� 3 ❑ 03C] a ° a z z '0 0 b o ❑ <br /> attest [fiat the proper field sampling Sampler Name(Print) <br /> v ro v ❑ a o <br /> procedures were used during the collection r � rn a a N ° <br /> of these samplvs r co L M + C-�G �' N N ° -0 ❑ t3 ❑ ❑ ❑ ❑ > a N <br /> a <br /> —Matrix Method Sampling o h - 0 0 0 0 <br /> Field Source GTEL Q p g m 1p `, d E a as a N w ❑ o a ❑ m <br /> � w � o 0 o co a N a � -J <br /> w Preserved m m y M m co co m m H ❑ w ❑ S y a <br /> Sample of Lab# y ❑ 0 0 ° ad o ❑ ❑ ❑ ❑ ❑ ❑ �' o a <br /> ID Sample (Lnb use w o 0. ❑ -" m a co o v o, m o a m v ro ro <br /> on1Yi z w w M O ut ur LU w x m � ° ° m W to rn to (D O a a` o o > a > <br /> ° J Z) x V) ul z r u, W x 2 � 2 a a a a a a I^ _J a � a o u � � � <br /> u a p a r- v Z h a o 0 0_ a o- a a. a IL <br /> a <br /> 00 s 2 2 Z O O F- m m F a t- r w w w m w w to r W � U U a r� <br /> X X <br /> 511-3 <br /> f I- Ent` E E vol <br /> -P 135 <br /> -t -31 <br /> li <br /> . <br /> - - - <br /> T— 115 <br /> T-3 <br /> SPECIAL HANDLING SPECIAL DETECTION LIMITS(Specify) RE RKS L <br /> 2"1 HOURS F] E/"> <br /> EXPEDITED 48 Flours ❑ <br /> SEVEN DAY 361 /'/ <br /> .0� .0 a <br /> OTIIFR (1I) BUSINESS DAYS -- - _ - - ------- -- -- _ - N N a <br /> OA/QC CLP Level ❑ Blue Level ❑ SPECIAL REPORTING REQUIREMENTS Lab Use Only Storage Location <br /> FAX ❑ (Specify) a 9 <br /> Lot# Work Order# , m <br /> a: a <br /> SII <br /> a <br />