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' 4080 PIKE LANE, SUITE C CHAIN-OF-CUSTODY RECORD 28947 <br /> GTE L CONCORD, CA 94520 AND ANALYSIS REQUEST <br /> 4 ENY1 0 N M E N T A L <br /> (510) 6$5-7852 <br /> tt a LBo ` ARIES INC (800) 423-7143 <br /> 3mpany Na J Phone# - �r ❑ <br /> ❑ A <br /> Rs�GivbW7r�: `ri �trvOt.�Cs ' FAX# LU <br /> ❑ ❑ <br /> �' z ¢ ❑ <br /> ompany Address Site location N ❑ ❑ Ir o ❑ <br /> C04 (AF �_ p ' r N a ❑ <br /> ro)ect Manager L f Client Project ID {#) r7 u y GJ .z,�'� 7 ❑ ``qn 2 �*. El ¢ <br /> I` m as cn Ul t 2 ¢ n <br /> UL <br /> C/ ���Sf/� NAME M/1'NNi� l u 2 o o El ❑cli ❑ ❑ z z Cen <br /> ] > ❑ ❑ 1CD <br /> :3attest that the proper field sampling Sampler Name{Print} [1a- d ❑ o -2 5 -1 n <br /> acedures were used during the collection I ! " m ¢ a a o - <br /> _F� ! Li /Y l c 0 � ❑ o 1 N ❑ ❑ U t C in ❑ a U n <br /> these samples ! V �� o e - m M y ' o o CD p N cl`.1 ❑ a- o - ❑ `2 <br /> Method o O 4- O v w p a m m o m m O © > S o <br /> Matrix Sampling m 2 U 2 m ❑ W a a ❑ ❑ H ❑ a ❑ <br /> Field N Preserved m ❑ W W co -J � m [] ❑ <br /> GTEL C c ❑ z m o ° ❑ ❑ ❑ d a ❑ =° A Wa J <br /> Sample Lab # o d ; a n Ln � o2 P4 <br /> ID (Lab use only} W g = ^ o W wU W Lll LU o C a 2 � = N <br /> 1- CL 0 <br /> .� o w H W W a v X m ¢ ¢ ¢ ¢ ¢ ¢ ¢ CLCL CL C) ¢ co rn <br /> ¢ Ul 0. 0 T 2 2 5 Cc cc 5 V Oy 0 m m 2 z O d W W W W W W W W W h W U J O U <br /> 2- <br /> 4 TAT Special Handling SPECIAL DETECTION LIMITS REMARKS Ail <br /> ` ! <br /> Onority(24 hr) ❑ GTEL Contact <br /> Expedited(48 hr) ❑ auoie/Contract# <br /> 1 Business Days ❑ Confirmation# <br /> SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot# Storage Location <br /> Other PO H <br /> Business Das ❑ <br /> QA I QC LEVEL <br /> BLUE❑ CLP❑ OTHERFAX❑ Work Order# <br /> Relinquished by Sampler Date Time Recbived by <br /> , <br /> Relinquished by Date Time Received by <br /> CUSTODY <br /> Date Time Received by Laboratory <br /> RECORD Relinquished by <br /> (( r <br /> AV min <br />