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r� <br /> WA Personnel: Be sure to include copy of this form in <br /> VIEISS ASSOCIATES job billing and field sampling files <br /> ?054 Unsuenay Acr.,su ite 301/Berkeley.G 94 70 7/4 1 5644.3281 P r o)a e t ID c+�K 10 i 3 — <br /> CHAIN OF CUSTODY RECORL) AND ANALYTIC INSTRUCTIONS NOTES TO LAB: <br /> I )Specify analytic method and de— <br /> Field Record Laboratory Record tection limit In report <br /> 1)Notify u, if there aro any anomr- <br /> Sampled by :::I—, AP' s'-Yn Laboratory Name `+; 6?6= rl! alous peaks on GC or other scans, <br /> 3)Duplicatas listed In parentheses. <br /> Sample/ A)Questions/clarificatlons—CALL US. <br /> Sample ID Conta{ner Sampling A:al3ze/ Analyze for: Analytic <br /> Type Date Hold Method/Detection Received by Date Condition" <br /> Limit <br /> —T <br /> If !, to ; - ra• �. – — <br /> 7�-I3- ? A -- <br /> Tn g A A --- <br /> -TP-N S 4 <br /> T.01N <br /> f -I <br /> XF i ---- cz-�s X <br /> Rel aced by Flald PersonneE, Date Released by Courier, Data Rece�(vrd by Lab Personn I, Da e <br /> Telephr,e <br /> I. Sample '%ype Codes: W=water, S=soil, O=other(specify) <br /> Container Codrs; V=VOA bottic, P=Plastic bottle. G=Glass bottle, T=brass tube, O=other(specify) <br /> 2. Analyze/Hold: A = Analyze, H = Hold---DO NOT ANALYZE UNLESS NECF55ARY OR REQUESTED <br /> ------------ <br /> I <br /> ,,.__� rttlOtERtrA� eafil _ _ <br />