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LANE, SUITE cMono rn<r_ ,;HAIN--OF-CUSTODY RECORD <br /> I GT E L CONCOFID, CA 94520 AND ANALYSIS REQUEST 30830'1 <br /> (510) 685-7052 <br /> (800) 423.7143 <br /> NALYSIS NEWEST <br /> ompany U <br /> Nam — Phone N: 1 <br /> I�.o'3l Icy) <br /> 1 ...._.J-1.-�C.,.. _. FAX :._ . . �... :�� ...... . :: .:. :.._ .. ,; _ �. . _ -e <br /> -Company Address: - <br /> -- <br /> m1 Site Location: t v, � ❑ 0 (JUWA SM % (n(a,414- tY z ¢ CJ <br /> a � <br /> Project Mana9er: Client Project ID: (1f) 3 CJ �+ + �� U <br /> N N to rn m ¢ ► w <br /> AM �: i► � �� t 1: m a C7 N ❑ ❑ z z IJ ❑ 1j ro <br /> I Illest 11111 the probe field sampling Sampler N e(Print : o D in ❑ ❑ n EJ d <br /> procedures were used during the > N o v O o J J U <br /> collection of[lies samples. o y CJ a n N L3 U V ¢ a ❑ 0 ^ p <br /> o u, CL 0 a N ¢ Cl <br /> �, Matrix hod amplin a o `� o a a a p o ° n a <br /> Field GTFL w Preserved r rL U W w w �� a g <br /> = c c m 0 d d '^ m U ❑ <br /> Sample Lab # a w U �° a „o U U U M a ❑ m ro t <br /> ill <br /> Lab Use z W °C o F ¢ a o O o o N N ¢ X N <br /> ` O J ❑ ❑ w r O W 2 LU W X C D v) ,O ,O 1O ,C ,D ,D O 0. <br /> Only U Q O ¢ U 2 tN 1!1 n¢ }" w W .0 F m ¢ 4 ¢ ¢ ¢ 4 4 f' J Q Z N b <br /> �. 7i to Q 1n 0. O I 0. X U 7. O g d F m m X z O H W w w w w w w w w t 10.11 v J O U <br /> s _ <br /> �4 — — — .AC) <br /> TAT'-.it'. -� f Special Handling SPECIAL DETECTION LIMITS REMARKS: <br /> rlriority(24 hr) I�' I I GTEL Contact <br /> Expedited(18 hr) 1.1 Quole/Confracl N <br /> I 7 Ciusiness bays (.1 Confirmation N <br /> nrlslness Days I I P.O. M SPECIAL REPORTING REOUIREMENTS Lab Use Only Lot N: Storage Location <br /> QA/QC Level <br /> Moe I 1 CLP r I other I I — FAX Work Order N: <br /> Relinqui /pj by Sa i Date Time Received by: R <br /> CUSTODY ` a w <br /> RECORD Relinquished y: Date Time Received by: <br /> Relinquished by: Date Time Received by Laboratory: <br /> Waybill N <br />