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IGTEL4080-Pike Lane CHAIN-OF-CUSTODY RECORD <br /> Concord.CA 94520 800-544.3422(In CA) AND ANALYSIS REQUEST 72- 14004 COSTO Y RECORD <br /> ,A601MORIES INC 415 685 7652 800-423 7143(Outside CA) ANALYSIS REQUEST <br /> Project Manager Phone# 4/6`372--y�7oo 0 p <br /> W ❑ w ❑ ❑ <br /> j/v1 1 c',ac-.61 14011 e, FAX# -17,2 7�` m <br /> o Ln m <br /> Address: W. Scic to Site location � '� ❑ <br /> in ❑ ❑ # <br /> 1-401 1'(2-r a r cj �1' StoGN-t a�n GA ° «U. � a = a x ° <br /> Project Number Project Name c m M Q 0 m 2-i c+n ❑ > 13 L <br /> oz3zo /�97 ar�wc►, pr aD[3 o o z z 0 d � � ❑ <br /> 11 v 0 �6 <br /> I attest that the proper field sampling Sampler Name(Print) H a H ❑ ❑ o L <br /> procedures were used during the collection b o a (n r m Q M i r <br /> of these samples TO 1-144, 12 1^�1G(wt1�51.� 0 � d -' v ❑ ❑ ❑ ❑ ❑ ❑ a o m N <br /> cli N <br /> U] O (fr y = 0 0 0 0 0 0 ❑ , 7 N fn LL - <br /> Field Source GTEL I Matrix Method Sampling 0 N w aca <br /> W W w a a 0 0 0 m N N y ❑ U�, <br /> ° Q <br /> Sample of Lab# preserved � m m m m O � H�' c7 a ❑ ❑ ❑ ❑ ❑ ONiD Sample (tab uss a w N x 1 _ _z O a '�1 « - y N M O a to d only) Z W U' Ir a W w (0 N u d d O O w N N X N W <br /> p w i 0 Z W W x ro cn m m 0 (0 0 aUoC Fz- V Z W O lz- Q w uw o 16 ¢ a a a a a F at O a� m a�O z 2 2 U Z O 0 F q~o m a` i°- ww w w w w w rV- U 2-i ani ani <br /> 4 t z- I riso <br /> I E E � E <br /> rtirw•L y r Z jo <br /> �+�•3 T rvM �- �, <br /> irrw'S 7 1300 � <br /> r»w'/o 7 13ra <br /> SPECIAL HANDLING SPECIAL DETECTION LIMITS(Specify) REMARKS <br /> 24 HOURS ❑ <br /> EXPEDITED 48 Hours ❑ I �� T,-) /- F IE4V /70 �n '� \ <br /> DAY ❑ <br /> OTHER (*) BUSINESS DAYS <br /> QA/QC CLP Level❑ Blue Level ❑ SPECIAL REPORTING REQUIREMENTS Lab Use Only Storage Location 53 v <br /> Ftr AX❑ (Speafyl <br /> Lot# Work Order# E E <br /> - <br /> a: Ir <br />