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J IU UUa-1 VJG <br /> ,' iNYr A3oRi i ) 423-7143 '1sl• �� . '' I •� .� ��•• r•;��r.' iii,; �r •{+� <br /> iAi�k soa <br /> ;0 Name, <br /> Phone#: <br /> 13 e 13FAX Y: O <br /> aiC1.om13 ❑ ❑ <br /> c ❑ <br /> ro ec Mona or: Clienl Protect ID: ( ) I 0 fp m @ ❑ m <br /> s <br /> U NAME L �r r 1't ❑ ❑ O ❑ z z ❑ ❑ ❑ <br /> fittest that th proper field sampling Sampler Name(Pdlnt): a ❑ o r ❑ g ❑ o J] ❑ n m ❑ <br /> ocedures were used during the collection t p o ❑ a a ❑ a <br /> these samples. m ❑ ❑ a o ❑ �- <br /> Method o a a W o. ❑ o ❑ <br /> Matrix Sampling 8 <br /> m Preserved m ❑ p w g th W ° 2 3 p <br /> Field GTEL ❑ _ C r- I m g ❑ ❑ ❑ ❑ G- ° ❑ `4 <br /> Sample Lab # co <br /> N }. <br /> ID (Lab case on c� � � cr <br /> � °o W � o o to � W� � � � � � � � $ � < a a a d c�� a � � L <br /> 3 uOi a ai [a. 0 = = a j oNa fl F M c i = 0 l� w w u� w w aW °u1 °i w r w v _, 4 c� <br /> 33� G <br /> It'Is IL Z <br /> h 71 <br /> zri <br /> 4 <br /> � S <br /> TAT Special Handling SPECIAL.DETECTION LIMITS REMARKS 3O[ <br /> -w <br /> Pilodply(24 hr) r❑�� GTEL Contact <br /> Expedited(48 hr) L 1 QuotelConlract i <br /> 7 Business Days ❑ Contlrmatlon A <br /> SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot N Storage Location: <br /> Other PO A <br /> Business Des ❑ <br /> GA!OC LEVEL <br /> BLUE❑ CLP❑ OTHE FAX Q Work Order N <br /> Relf q lshe y Sampler: Date Time Received by: <br /> CUSTODY Rellnq s e b : Date Time Received by: <br /> RECORD IRelinquished by: Date Time Received by aboratory: <br /> Waybill # <br /> w r <br /> ^ <br /> . - ;r-nT-�.,�— �-s -z-'s•-err � "r� t <••�s�'-'.-- ... <br />