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4060 PIKE LANE, SUITE C CHAIN-OF-CUSTODY RECORD <br /> IGTEL "ONCOnD, CA 94520 AND ANALYSIS REQUEST 32675 <br /> (510) 685.7852 <br /> ( <br /> ,..a•�ro.,r. �� 800)423.7143 <br /> 1 1 <br /> Company Name:, Phone N: f <br /> _Qouo%)\A0—T-2 �t�1 « <br /> FAX : ❑ ❑ @ ❑ <br /> Company Address: —Sittee Location,N F ❑ � � of <br /> T ❑ m y <br /> � m <br /> Project Manager: / Client Project ID:(yN0-in-Z m y N N r] N <br /> _ r.5 ❑ a <br /> (c 1R'�� �,�(Z�}, �c� S { �5 �•r�y,n>L r`� �' m c, ❑ a ❑ ❑ Z Z o ° �� <br /> 1 attest that the proper lietd sampling 7pter Name(Prins): 2i ❑ N ri r 11 Elm� oprocedures were used durin ❑the I I r L a $ 12 ° a -J Ra collection of these sam les. r.6� YID o y ❑ a o ❑ ❑ a m ❑ a v' ❑ a° <br /> ❑ m LL m vi U in o o ❑ N cv [] o p � N L <br /> N Matrix Method Sampling N Q "' a as a a o m .0 <br /> Matrix g 8 9 <br /> Field GTEL W Preserved a z < < ❑ © w w m d a <br /> N N m <br /> Sample Lab N a w U a try v ci ❑ N m o❑ ro m m <br /> ID Lab Use z 1 0 7 4 o ¢ 'D o Q n vci r$ m m O <br /> Z w p a w 6 Ww a: w w x z c <br /> Only V < p ¢ � ¢ V z n v iw a r- s > a O a na a a a n< a a U a <br /> 3 to a N a o x x rn U O_ F m m x x O H w w w w w w w w w w U O V <br /> 2 _ )KI <br /> vI- 3 Xr� <br /> z �So <br /> 7v1L- — 1.5r Z � k <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS: <br /> Priority(24 hr) 1_I GTEL Contact �v <br /> Expedited(48 hr) f=t Quote/Contract R <br /> 7 Business bays 1-1 Confirmation N <br /> Other <br /> thisiness bays I t P.O. SPECIAL REPORTING REQUIREMENTS tab Use Only Lot q: Storage Location <br /> QAIQC Level 0-112:0402— <br /> clue f 1 CLPf 1 Other t I _ FAX[IWork Order A: <br /> Relinquist . by S pier: Date Time Received by: <br /> c- - <br /> CUSTODY - <br /> R SCO R D Relin uithed by: f Dale Time Received by: <br /> Relinquished by: Date Time Received by Labor to - <br /> 5 Waybill 4 <br />