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b 4080 PIKE LANE, SMITE C CHAIN-OF-CUSTODY RECORD 28946 <br /> Fit %T E ` CONCORD, CA 94520 AND ANALYSIS REQUEST <br /> ENVIRONMENTAL (510) 685-7852 <br /> LAear' TRIES INC (800) 423-7143 <br /> 4 <br /> ompany N } Phone# /- <br /> / ❑ ❑ <br /> FAX# © e ❑ <br /> om an Ad ress Site location -- m 2 a ❑ <br /> L A y '/�7ulJ (11F /(` v' ❑ ❑ ❑ ❑ ❑ cc oEl <br /> P <br /> Client Project ID # ( •2 1 77,)%l d"! ` ❑ �; ± ❑ a nI 0 <br /> 'rotect Manager I ( ) / W �, >w w <br /> m � o, cn v7 x a n a <br /> NAME /` l� V'l `�I� L' r o o ❑ p © z z ❑ > ❑ ❑ <br /> attest that the proper field sampling Sampler Name (Print) a 0 0 "' ❑ S n o ❑ ❑ J v <br /> rocedures were used during the collection ] � 1, E3d ,Q o a �o c d ❑ a w ❑ L <br /> f these sam les L <br /> I (� jj o a3 S Tv— zo_o r Nm mN x xs m a a ❑o 2 U `O o ❑ ❑o p <br /> Method Cn m ¢ CD m >a❑� <br /> Matrix Sampling QyaE] W ww ❑ �y 0 LL <br /> N <br /> preserved m <br /> Field GTEL $ � O : rrn❑� <br /> rn Z!, <br /> Sample <br /> Sample Lab # co 3 ED (Lab use only) U ;? r wto w ¢ <br /> tit uJv ° m ¢ a <br /> � � z >1 o a na a a ¢ a M c- a <br /> O w w W w w w w w w 0 <br /> np ¢ a0 = <br /> ' <br /> 13 <br /> 1 U <br /> o <br /> n9 <br /> - a J 3• /ovo X <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS <br /> Pnonty(24 hr) ❑ GTEL Contact <br /> Expedited(48 hr) ❑ Quote/Contract# <br /> 7 Business Days ❑ Confirmation# f <br /> SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot# Storage Location <br /> Other PO# <br /> Business Das ❑ <br /> QA 1 QC LEVEL <br /> BLUE❑ CLP❑ OTHER FAX❑ Work Order# <br /> Relinquished by Sampler Date Time Received by <br /> CUSTO Dy Relinquished by Date Time Received by <br /> RECORD Relinquished by Date Time Received by L 1boratory <br /> 1; ev (" <br />