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b: <br /> - i t- etxr <br /> f. <br /> •Axa. <br /> 4060 Pike Lane 1AIN-OI-CUSTODY RECORD <br /> Concord,CA 94520 800-544.3422 fin CA) HND ANALYSIS REQUEST 72- 12633 CUA DY RECORDe x v o N M r H r l <br /> 415-685-7852 800.423-7143(Outside CA) L 4 <br /> 1ti101AIOfl11 i. 11iC <br /> ANALYSIS REQUEST � �1 <br /> Prosect Manager. Phone 9: . <br /> - f f ❑ ❑ ❑ ".c <br /> .0 „ A ' 1 7ZI ❑ <br /> Address: - <br /> rj <br /> OO <br /> o rI v ❑ <br /> yb ha Site foc lliorc _ <br /> Protect Number, u) n z - . <br /> w <br /> O Pr6)eCt Name: / !a g a m n Q o + + T 0 v (� <br /> 7j'�63csy�'� i;ryr Fr-_L.t�c�_ 3 ❑ 0 v u Lo m Q E ❑ o <br /> I attest that the proper field sampling 5.tm¢i^r'.ameiPrint): c -� a ❑ a a z z v` m 4 k a <br /> Procedures were used during the collec11 `-' " .. ❑ <br /> of these samples _ C� c. _ o o "� a 13 ❑ <br /> - `- - oy°' rah- �' o ❑ ❑ ❑ ❑ ❑ ❑ Cl a <br /> KIe1d 5nurce GTEL� Matti h7ethad aryl <br /> ling <br /> � � � o 0 0 0 0 0 ❑ ? - 0 LL � o <br /> _.ICII. L <br /> Sample P of Lab# z Preserved p w a a g ; o b ;; a F, n ❑ n <br /> ID Sample ❑ p m is m m m = a " ro <br /> flab uaa n x .tea Cl ❑ ❑ L7 ❑ ❑ a a Q m ❑ S <br /> only) z m 0 e> r � o a ❑ o n m o v rI � n `o_ „ = ? <br /> f) �- d u' Q p zUJI m UJ W `° q 0 a o 0 0 �, rb a v -U a . <br /> U a 0¢a U Z IA W Z x F x `m c .o to u a m m O a a` - m n, <br /> s co a In 0 2 S = V 0~ Q +�-1 F a ° a a a a a a 1- a Q F o •'- ' 'J <br /> �✓.� � - 2 O IDI! w u�i uai w w w r IA+7 cal u° w y r , <br /> cc It <br /> • i= Qj <br /> I_ <br /> ! 1 • <br /> -nt.f of 7 <br /> v <br /> � ro <br /> SPECIAL HANDLING: SPECIAL DETECTION LIMITS 1101 Inc;I'I IREMARKS: <br /> m <br /> 1 ,VI own 48 Hours ❑ <br /> `�F-VF IJ (JAY CI '�. <br /> rflTlil Tt In) BUSINESS DAYS <br /> A Fr <br /> r)� 0C CLP Lrrvel Cl Blue Level❑ vcu _ <br /> SPECIAL REPORTING REQUIREMENTS Lab Use Only L = <br /> {Svnclly) Y Storage Location �' H <br /> Lot p: Work Order rr: �' v <br /> c <br /> Cr <br /> xr-{ <br />