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S. <br /> �L. <br /> 40110-Pike Lan- CHAIN vFCUSTODY RECORD , <br /> � 't CUSTODY RECORD � <br /> NGTEL Concord,CA 94520 30-1-544-3422LIPID ANALYSIS REQUEST '7 5�544.3422(In CA) 1 c,— .,7� 4 <br /> I HV It O lr R r N t At 415.665-7052 BOD-423-7143(Outside CA) " <br /> IIi1 u.o■e,o■u r.,uc ANALYSIS REQUEST <br /> Project manager. Phone tr tet/- ?z-`�.�CS �4 ❑ ❑ �_ �j <br /> w 4 ru ❑ <br /> FAXa Ln <br /> Address: /l/n, Site la(.ation: ❑ <br /> nn n, Z E3 <br /> rw �, o <br /> r <br /> - ry <br /> rl H Project Numb r. — J Project Name: z o " v `o ° + ry 4 > U L) a G <br /> 5 a ❑ v in a m rn yr ❑ ❑ a tg S <br /> �17Z /✓ G Z Z m m ,gyp F+ ❑ '.5 - <br /> i.�+ <br /> ii V�."'�. - rj /11f��Jlcrl--r�Y1 —_-- - srOa —¢3 .Orn-�¢¢- v-y—r=- —KU Z-- - C7 rS\d'._ Zz`�`" -m,- -r °a ❑ou wAE—m "a pdUa a°o-' <br /> 13 <br /> ❑ro i l ❑ <br /> qIattest that the proper Held Sampling Sampler Name in): m <br /> Ilec <br /> procedures were used during the co ;!, r' o uio!(hese samples. tl a n+ m ° o N w ' vo ° "r � 7o> oGTEL Matrix Method Sam Iln FieldSource 0 Sample of Lab Preserved na gNToo I a> —5>. <br /> C"o <br /> ID Sample (Lnb uee ❑ ❑ ❑ ❑ ❑ ❑ <br /> only) z 0 rx W w w p m m <br /> ❑ w EL <br /> Z x sZw m m —aio�va <br /> O = O = a a. a a a Q <br /> .1 ro CIL w U.J.w w w w r- w _j U U m e, a>, <br /> I. <br /> y . <br /> fillo-to <br /> ' <br /> i <br /> v n a+ <br /> s- I I <br /> SPECIAL.HANDLING SPECIAL DETECTION LIMITS(Specify) REMARKS: <br /> 24 HOURS❑ L E } 1 <br /> EXPEDITED 48 Hours ❑ � _ " <br /> S )� ''a <br /> SEVEN DAY 115 <br /> v v .. <br /> OTHER—/D {tF}BUSINESS DAYS P Z / u a r� <br /> bc} ct� —. rl Z GG Ll _ t c t r <br /> QA/QC CLP Level d Blue Level❑ SPECIAL REPORTING REQUIREMENTS Lab Use Only Storage Location <br /> FAX❑ (specify) Cr co <br /> Lot It. Work Order it, w R <br /> it 1' <br /> r�.. <br /> RYN <br /> 6 <br />