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4080 PIKE LANE, SUITE C e CHAIN-OF-CUSTODY RECORD 28941 <br /> -11 eT E L CONCORD, CA 94520 AND ANALYSIS REQUEST <br /> LeEN VI R 0NM EN T A L (510) $85-7852 <br /> LABORATORIES INC (800) 423-714 <br /> ompany N Phone# (�-7 j ` F- ❑ <br /> oil Neal fl 7���- ��CI i�s1C �� Y FAX# ❑ CD s ❑ ❑ <br /> ompany dress Site location m L ❑ ❑ o ❑ <br /> �o�a 'oRr ctr�clfC�-� F,tiLy ❑ ❑ ❑ <br /> �'� (-,IrL "� r N a ❑ ❑ ->_ <br /> Client Project ID (#) i7 7p ❑ 3 °' Cn ± V p ❑ a <br /> roject Manager LLJ m �' Fim m z a ❑ cc <br /> C f- a o El <br /> (NAMi r N �.rc� ti C3 ❑ z z ❑ ' c ❑ ❑a ❑ <br /> H <br /> � ❑ 0 � , ❑ ❑ �, o <br /> attest that the proper field sampling Sampler Name(Print) a ❑ ❑ ❑ ❑ o a ¢ s <br /> rocedures were used during the collection ] / c°CM 0 ❑ a <br /> f these Sam les `^I � 0 ❑o c' n> ' U `' o o ❑ w civ ❑ ° O "' ❑ cc <br /> Matrix Method Sampling 1" o o ❑ 0 W d < C. W 0 p a 1�-' o ❑ 1 <br /> Preserved - y a ar ❑ W W W � -J CA ~ a <br /> Field GTEL S F o ❑ y o ° ❑ ❑ ❑ li CL ❑ <br /> LL! U ' G W 0 «l '5 T S co N m `a u`'7 4 X N N U <br /> Sample Lab # o a a LL oc o <br /> l� (Lab use only) a a -J O r O w au'�c UJW I- W v f° z rn Q Q Q Q Q Q Q J Q v R <br /> CtCC J l- U Z U Z t-y Q H F- T }. �' Cl. d a a 0- a a n. n_ v o_ Q rn pp <br /> rq q Cq d O x Z 2 O.�O F- m m 0= 2 O h W W W W W W W W w H W U <br /> 1 _ — -� c <br /> 3345' <br /> SOV <br /> ilio <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS ) 1 <br /> Priority(24 hr) ❑ GTEL Contact <br /> Expedited(48 hr) ❑ QuotelContract# r r <br /> 7 Business Days ❑ Confirmation# <br /> SPECIAL REPORTING REQUIREMENTS Lab Use Only LM# Storage Location <br /> Dther PO# <br /> Business Das ❑ <br /> QA!QC LEVEL � / <br /> BLUE❑ CLP❑ OTHER FAX[] Work Order# l 1 ' `- <br /> Relinquished by Sampler Date Time Received by <br /> CUSTODYRelinquished by Date Time Received by <br /> RECORDRelinquished by Date Time Received by 1 Laboratory <br /> /J <br /> 0V <br />