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AdIllk <br /> V>7- <br /> GIEL4080-Pike Lane CHAIN-OF CUSTODY RECORD e� CU <br /> Concord,CA 94520 800-544-3422(In CA) AHD ANALYSIS REQUEST 72- 14004 <br /> E NV I IOflIE1N IHC 415-885-7852 800-423-7143(Outside CA) ANALYSIS REQUEST <br /> i <br /> Project Manager Phone# 4/6'-3 7z- 7oo ❑ ❑ <br /> �1w ❑ w Q ❑ <br /> fM 'rC' G� v1011 P-, FAX* 77a '�7�j � a o v <br /> Address. VVI Sa[tt;o Site location 0 u_ � <br /> ❑ ❑ a13 # <br /> K&( A r<A Dr Stock tv,� GA o o = o ° a <br /> Project Number Project Name o m "� v a02 y y Q c U <br /> L �+ ❑ a ❑ <br /> pz3zo /5197 a.wv'a, Pr ; o ❑ aQ `oo ' zOZ 9 gip ❑ <br /> I attest that the proper field sampling Sampler Name(Print) T q m 2 V; ❑ o <br /> procedures were used during the collection b a v U) "' ar a "' v L • <br /> of these samples TC)I—'1- fz b"LG1'^-7051 ' P N a a a ❑ ❑ ❑ ❑ ❑ ❑ a o A " _m <br /> 0_ <br /> °en n zy <br /> U. <br /> o <br /> o 0o o vo Field Source GTEL Matrix Method SamplingbE0 <br /> F , 0 0 n N w <br /> wSample of Lab# Preserved a QQ ❑ ❑ ❑ ❑ yo a J <br /> 5. <br /> ID Sample (Lab use <br /> U ` a <br /> cc Va s o8 NN7 O o only) z a: IF <br /> Hp w O Uw x W 0 ; cp c a. aas <br /> w <br /> CY a a >° x (1) wZ = a a a va O a a a a a a d)M ° o <br /> U) O z = O www w w w w w <br /> W <br /> cr <br /> ' 1017- r1 5 <br /> E E rQ E <br /> Nrw•j ~T 1 ZZO <br /> wrw'2w N.11210 ` <br /> ti <br /> jE,w-3 T rvM w <br /> hrw-¢ 7 raSo w a w w <br /> rirw, S 7 <br /> ►ru. 6 7 r3roj IV IV if <br /> _ 4 <br /> SPECIAL HANDLING SPECIAL DETECTION LIMITS(Specify) REMARKSIt <br /> �- <br /> 24 HOURS ❑ � 11 <br /> T <br /> EXPEDITED 48 Hours D FIE[v 170 <br /> SEVEN DAY ❑ f� ' 0 <br /> OTHER (#) BUSINESS DAYS <br /> QA/0C CLP Level ❑ Blue Level ❑ SPECIAL REPORTING REQUIREMENTS Lab Use Only Storage Location Cr 1(alE <br /> QFAX❑ (Specify) Lat# Work Order# ccm a <br />