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CHAIN-OF-CUSTODY RECORD <br /> IGTEL 20000 Mariner Dr,Suite*300 213-371-1044 AND ANALYSIS REQUEST 76" 8905 CUSTODY RECORD <br /> VIR ON <br /> IENTAL Torrance,CA 90503 800-727-GTEL <br /> LABORATORIES INC ANALYSIS REQUEST <br /> Psect Manager Phone* 46io) 671- 2 ❑ ❑ ❑ ❑ ❑ <br /> K� H�m�sS - FAX* t 510) 0S'9�'�� a o CO <br /> 0 ❑ <br /> LO v '� <br /> Address Site location 7�cK7DN 4�• `� r ° <br /> T.� C4VG0� �vr 5 ��P a2A0o ST, m z ❑ ° a ❑ ❑ m ° = o _ <br /> LL _ x <br /> Project Number Project Name CO � v ° y + > c'c <br /> ,G N a co V) U) ❑ ❑ o J <br /> p2o�o�8tg ANn� ��e 30 �❑ ° � oo zz � N � � ❑ <br /> I attest that the proper field sampling Sampler Name(Print) y ro N ❑ 2 ❑ a o <br /> procedures were used during the collection ❑ 0 0 N a ¢ 2 N J y � <br /> of these samples N N ° `f T ❑ ❑ ❑ ❑ ❑ ❑ o =° ° 0 o <br /> o V aN li Q <br /> Field Source co <br /> GTEL Matrix Method Sampling m fO E= ° o o_ o ❑ ❑ o a ❑ <br /> W Vi d 3 0 0 0 f? N N d r` J <br /> Sample of Lab# w Preserved ❑ o cW 0 M CO m ° W r ❑ N ❑ > <br /> ID Sample (tab use a N = ° °� ° ° ° ❑ ❑ q ° ` N <br /> w O d ❑ — r N ao O Ip v QI ? a <br /> only) z a C9 OC �, Q m p 4 0 0 o N N X a` ^ rC W 7 S <br /> o w O w w x w w cc cG cn p a c o <br /> U ¢ [[ D X , Z W U p ¢ w w _ o m - - 0 <br /> # <br /> C) U) 0 z _ z — z0 Q m m a w w w w w w w LU _J 0 v Il <br /> cc cc <br /> �/ y EV <br /> �' g } /� ^ E E <br /> 5e2- 11� 1 � X X <br /> x <br /> aL—L <br /> SPECIAL HANDLING SPECIAL DETECTI6N LIMITS(Specify) REMARKS <br /> 24 HOURS ❑ Lr0n?1ft7Zr f►463 ro <br /> EXPEDITED 48 Hours ❑ n 6z r U) <br /> SEVEN DAY © f� <br /> OTHER (#) BUSINESS DAYS t <br /> U7 N N <br /> QA/QC CLP Level ❑ Blue Level ❑ SPECIAL REPORTING REQUIREMENTS Lab Use Only Storage Location rr 7 Cr <br /> FAX (Specify) Lot# Work Order# E 4 <br /> 68 <br /> � � 3 <br />