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i . tet <br /> •trnttr ILII`I t �,i It , Itlll t I. t, CHAIN-OF-CUSTODY RECORD 26893 <br /> UUWA011) CA U4020 AND ANALYSIS REQUEST <br /> IMYiIOMYIMi►r <br /> 1110)) 885-7682 1.:.—.,. . . .. mow.. <br /> t�soa�rorns. ri,a 800) 423-7143 <br /> M NA Phone N: <br /> l FAX 0: ° � ❑ � <br /> n Y Address: Site location <br /> � D "bac ;1 �5 A - ❑ <br /> o ❑ o 0 <br /> )ad Manager: Client Project ID: (A) �Zb��G y-��{�SDC f ❑ _177. `- 0. ° q ° <br /> L <br /> NAM 6hMl—brl(a o- a ❑ x p " o <br /> teat that the proper Feld sampling S mpler Name(Print): a ❑ &T ° 2- z z x°t ° <br /> 13 <br /> cadures were used during the collection /�/� H S 3 v ❑ ❑ ❑ ❑ CI 0 ,s <br /> hese sem les. j '1 1 ❑ 4 ❑ R a R c i C] 9 Q c <br /> 121 Matrix Method Sampling e d ° o <br /> Field GTEE. Preserved a ❑ ° W ❑ p ❑ ❑ <br /> Sample Lab # [ ¢ W ° ° 1 ° 2 1 1 1 C4 Q v <br /> ID *<f�ab use only} 8 d 6 W.1ig �' g o M 0 <br /> } I rpi R 0- E D i x x" v p F x Q laJi u°1 Isit u°i uaJ �u ual �i7 iziJ + <br /> /}i w <br /> W^—I <br /> VI1 UJ 4vrg <br /> fk , <br /> VV4 <br /> U.1 <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS <br /> ,try(24 hr) ❑ OTEL Contact _ <br /> •dhoti(48 h4 ❑ t]uotelContract t <br /> Jstneas Days ❑ Connmiation I <br /> at PO SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot N Storage Locatlon: <br /> Inas Days ❑ <br /> GA I QC LEVEL <br /> JE❑ CLP❑ OTH PAX❑ Work Order <br /> Ralln vi heti y S ter: ate Time Received by: <br /> - STO DY <br /> ]U R°"nqu' ed by: at Time Received by: <br /> IU <br /> ECORRsllnquiehed by: ale TimePod by La oratory; <br />