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I <br /> 4000 PIKE LANE, SUITE C CHAIN-OF-CUSTODY RECORD <br /> IGTEL CONCORD,CA 94520 AND ANALYSIS REQUEST 32673 <br /> 4. <br /> (510)685-7852 <br /> (800)423-7143 <br /> 1 <br /> Company Name: ! t Phone#: <br /> C.1\tio v--`� FAX H: ❑ ❑ U <br /> Company Address: Site Location: w © a a o <br /> 1 7o7 �, v <br /> T c �( .Atr f / C ❑ ❑ o m I ! <br /> ojecl Manager: Client Project ID: (N)O�—VSZ�i'n m �* + e ❑ �I <br /> nJ I-1� �r 1•f �1��`(ZV m LL 5 ❑ ❑ ❑ ❑ z Z [] O ❑ r <br /> I attest that the proper field sampling �a`nple Name(Print): ❑ N c ❑ ❑ m C� ❑o <br /> procedures were used during the H Lh�Z� 1 # Q ❑ ❑ m Q a fn o rel <br /> collection of these samples, + r �.1 V ❑ � O m to a S p N a m ❑ a N U 4 <br /> 10 LLm 6 '2 U O O ❑ N N ❑ a Q z' ❑ r- <br /> = <br /> W Matrix Method Sampling N Q d `� o a e 0 0 F ❑ > " S <br /> Field GTEL Q Preserved co ti 0 a m ❑ w a a -J -J 0 a N [} LL <br /> w ❑ T c c ❑ w w m a a m m N V ❑ m II <br /> Sample Lab N a ,� �i N $ �, 0 ❑ ❑ ❑ ❑ % -n m > <br /> ID Lab Use r tO O a � � c ¢ nu, � 0m ao D aonl u J a a 0 w S N w na wr '' w y O ¢ � v z D z W a t- � T - a o a a a a a a a a v arn a rn a O x = D o I= m m x x O F W w w w w w w w w r- w U -.i O U <br /> — <br /> ,lAW-�3 03 aL Si <br /> POO - 14 07 r Z , <br /> Mv.1-_ 09 Z - - • - - -- <br /> b 10 Z <br /> IM <br /> Ir,� 14 2 3:3 <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS: <br /> Priority(24 hrI {'I GTEL Contact n <br /> E.podited 148 hrI t 1 Quole/Conlract M <br /> 7 Business Days 11 <br /> Confirmation p <br /> omer-___ <br /> nosiness Days 1 ! P.Q.p SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot M: Storage Location <br /> DA 0C Level 7 <br /> Blue r CLP r'1 Other[ I — FAX[] Work Order If: <br /> Rell q ishe b ampler: Dale Time Received by: <br /> usTOQv 1 z z �— <br /> Relingwished by: Dat Time Received by: <br /> RECORD �.- L tit s ._�__ . �1 - '.? ,— <br /> Relinquished by: Dale Time Received by Laboratory: L41Z-7 -qr.� f r2. Waybill N <br />