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CHAIN-OF-CUSTODY RECORD7G_ 8 9 0 3 <br /> GT E L 20000 Mariner Dr,Suite#300 213-371 1044 AND ANALYSIS REQUEST VV CUSTODY RECORD , <br /> ENV I RON MENTAL Torrance,CA 90543 800-727-GTEL ANALYSIS REQUEST <br /> lASORATORIES INC / <br /> Pr ect Manager Phone*(Sp) 4,11. 238) ❑ <br /> LJ �Q ❑ co <br /> ❑ <br /> 11 C1l` W <br /> FAX# (S)o) mco 0 m <br /> ❑ <br /> o LD v <br /> Address. �s Site location %DGlCToNy L ❑ _J Z� <br /> ❑ J <br /> (3�� CaN�oR� �IOor! S. fL Oaa�a s� o ❑ ° ° ❑ ❑ 0 ❑ 1 o <br /> Project Number Project Name t o d " a m c+n + ❑ o o <br /> cc <br /> ❑ J <br /> Q205-0Z81.3i�NNI� 34 ❑ v a zzT � —"� 0 ❑ �' <br /> I attest that the proper field sampling Sampler Name(Pr,nt) m 013 0 �a `-' �' ❑ o <br /> procedures were used during the collection ❑ b d "' ° m < M 0 ° <br /> I.- <br /> of these samples N o °� _ ❑ ❑ ❑ ❑ ❑ ❑ a 5 o 0 LL o <br /> Field Source GTEL Matrix Method Sampling `° �, T 0 E 0 0 0 ; � t- ❑ a ❑ @ (� <br /> Sample of Lab# z Preserved ❑ a� co co m m co � N ❑ y 0 y, >1 ,, 1 <br /> h <br /> � <br /> v <br /> Sample (Lab useCq <br /> .ID O 0 i ❑ ❑ ❑ O 0 ZN 20 ❑ yoN co 0 v LO a <br /> only) W 0 0 r N <br /> 0 W 41 <br /> 9 � 0 a- aWDW WX >p Mp ¢ 2 W W <br /> p ° o a a a a a a a a oW <br /> z2W z O a W W W W W W W W W U Uaar <br /> *\\\v <br /> S�3�b6X Pm <br /> 3 R 1 �( X I I I I I <br /> Z <br /> 5P3-$3 <br /> -IA <br /> x Xx <br /> 1 X <br /> -3,A L I x y. <br /> sPy�e � x <br /> SPECIAL HANDLING SPECIAL DETECTION LIMITS(Specify) REMARKS \ <br /> 24 HOURS ❑ C00/105T7e ,""�tes <br /> EXPEDITED 48 Hours ❑ ��= r <br /> SEVEN DAY ❑ <br /> OTHER (#) BUSINESS DAYS = <br /> QA/QC CLP Level ❑ Blue Level ❑ SPECIAL REPORTING REQUIREMENTS Lab Use Only Storage Location <br /> FAX ❑ (Specify) _ t1 <br /> Lot# Work Order# <br /> e�_6&�jt , IMcr cc <br /> 3 <br />