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4080 PIKE LANE, SUITE C S AND ANALYSIS CHAIN-OF-CUSTODY <br /> E CORD 26987 <br /> . <br /> IMGTEO CONCORD, CA 94520 . <br /> EN VINOIIMENTAL (510) 685-7852 <br /> f tfl� IAeONArOR1111 INC (800) 423-7143 <br /> Company Name Phone# <br /> Co FAX# ❑ ° p h <br /> Company Address Sit ation LU ig <br /> / El 13 ° ❑ O ° <br /> ❑ ❑ ❑ <br /> Project Me ager Client Project ID (N - so ❑ + + p <br /> Lu <br /> - x ° <br /> NAM p 0 1] p z z ❑ o m <br /> I attest that the proper held sampling ampler a(Print) °1 o ❑ ❑ ° ° E ° <br /> a <br /> s <br /> procedures were used during the collectionJN&'tAL At ° ❑ a ❑c ❑ 0 ° a <br /> of these samples <br /> Method v a ❑ a v ❑ <br /> Matrix Preserved sampling ❑ ° g -K - p p g ❑ 0 <br /> Field GTEL o 13 <br /> Sample Lab # �, � ° ° ❑ © ❑ � oN � ° 5 J <br /> 02 <br /> P Lab use c3 god <br /> I D { y) �' a o d w FE ca e a a a s a <br /> W11 7-1 L <br /> Vq <br /> 44 U1 NIP �y R2 <br /> 3 r7i � rn a O = s x v w gi3 �ii � u°I iii ua1 U [� i <br /> 1 <br /> TAT Special Handling SPECIAL DETECTION LIMITS R MARKS <br /> fL PIS5010'p Sa�P <br /> Priorily(24 hr) ❑ OTEL Contact <br /> Expedited(46 hr) ❑ owtafContract <br /> 7 Business aye 13Conflrmatlon/ <br /> Qlher PD SPECIAL REPORTING REQUIREMENTS Loh Use Only Lot A Storage Location <br /> Business Days ❑ <br /> QA!QC LEVEL <br /> BLUE❑ CLP❑ OTHER FAX Work Order N <br /> Relin u she y Sampler gal Time Received by <br /> Relinq ishe by Date Time Received by <br /> C. ■STODY <br /> RECORD Relinquished by Dale Time Rec y Laboratory <br /> n.v 7,41 <br />