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4080 PIKE LANE,SUITE C HAIN--OF-CUSTODY RECORD W31458 <br /> IGTEL CONconD, CA 94520 AND ANALYSIS REQUEST <br /> (510) 6135-7652 <br /> (©00) 423.7143 r iNIN ItWW MIE WHIM <br /> Con plan Narne: Phare 1*: ��� 'Z <br /> �U ❑ <br /> FAX R: ❑ = fa Cl <br /> Co pany Address: Site Location: <br /> F m ❑ <br /> ❑ U o <br /> 5 o G��+�C �R-AG�{ ,CAS r �, ° ❑ ❑ D ❑ <br /> J <br /> Project Managler��: Client Project I17: (N) © ❑ ± ± 2 ❑ Cl s <br /> - ❑ h U N v> ' 013 a <br /> So VL D o ❑_ ❑ ❑ ❑ z z ❑ o <br /> 1 allesl that the proper field sampling Sampler Name(Print): �' ri $ o � U m -° N <br /> procedures were used during the ( y N ❑ ❑ m to a °' c r `c <br /> collection of these samples. �+�vL` a ❑ 4 v o N a a m 0 a m ❑ n- <br /> LL C7 Cj .may V O O U N N rL Q r C <br /> Matrix <br /> Method Sampling o CJ <br /> 0 2 m ❑ o a ❑ L7 © C1 a K ❑ tL <br /> Field GTirL Preserved ❑ _ r ❑ ❑ W w a <br /> z F N a °° ❑ ❑ ❑ a a p <br /> Sample Lab # ¢ w V $ 0 b v ri N W N N 0 x <br /> ID /Lab Use z w J o a f d a� � w w W �W � � c <br /> 1 f m a o M w ,¢ r- W w v v _b 3 m a a d a a a 4 J a „ e, g <br /> o a <br /> only v q ¢ z O H >- a r- ►- T T 0. O d lL 4 4 lL ll [L d U tZ a y <br /> to ¢ rn a 0 x x z _ S m m 2 2 H w w w w W w w w w N w U J O cg <br /> r 3 <br /> It <br /> # <br /> -'� } .1 1' 'r .t f. �� �� tl lf'• 3 '' - .5 :, j: <br /> TAT Speclal Handling SPECIAL DETECTION LIMITS REMARKS: <br /> Priority(24 hr) Cl GTEL Contact <br /> Expedited(48 hr) 11 QuolelContract N <br /> r Business Days Cl Confirmation N <br /> other <br /> r3uiinoss Days Cl P•0• SPECIAL REPORTING REQUIREMENTS Lab Use Only Lai N: Storage Location <br /> N <br /> QAIQC Level <br /> Blue❑ CLP❑ other 0 i. Q ! I.Work Order If. <br /> Relin s y S mpl Dal <br /> Time Received by: <br /> CUSTODY <br /> Relinqu shed a Time Received by: <br /> RECORD - -� s:a U• t� � t <br /> Relinquished by: Date Time Received by Laboratory: <br /> f <br /> Waybill N <br /> r; <br />