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4080 PIKE LANE, WITE L L b 0 J U <br /> ILPAIORAT011113, <br /> ` CONCORD CA 94520 AND ANALYSIS REQUEST 510) 685-7852tli INC. 800 423-7143 t 4 <br /> Com y Name] Phone M: <br /> l1 FAX N: <br /> Gom an Address; Site location: / / nn ,f f C3 ❑ 0 o ❑ <br /> 9 ❑ ❑ <br /> Client Protect ID ( ] - 7(a r ❑ ❑ = <br /> : J <br /> Pr *Zanager. w to Cn H O <br /> NAME LI4s]6AT71114f&AD � � � ❑ � ❑ o z z ❑ � � ❑ ❑ ❑ <br /> I attest that the proper field sampling Sampler Name(Print): 3 a o ❑ ❑ o to <br /> procedures were used during the collection E4 INC) ❑ � a � ❑ � a � � � 0. ❑ <br /> of these samples. m t:; U ❑ a o ❑ <br /> Method vI o a 8 ❑ � o ❑ ❑ <br /> c Matrix Sampling o 13 m ❑ ❑ w w p `� ❑ a ❑ <br /> Preserved p ❑ a a ❑ <br /> Field GTEL 0 c� a ❑ ❑ ❑ 2 3 � <br /> Sample Lab # G W � � � � � � 10 it -8 � � � � o � 4 � <br /> ID (Lab USB Or11y) 3 �' n W o 'w�!�� w m m a a a a a a a g a <br /> : a � .�rvz � w � a a a a a a a U <br /> r�i a a a Q s z s v o�a F co rn s = D w ual w w w w uaJ w ua3 ca O <br /> "K ! I <br /> rV1 w— Z <br /> ntiw -S <br /> ixw FFS <br /> ntt-i— 1 <br /> ►t1w r!S ' <br /> LAW <br /> w- r <br /> r_- 1# <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS <br /> Priority(24 hr) ❑ OTEL Contact <br /> Expedited(48 hr) ❑ Ouols/Contracl d <br /> 7 Business pays ❑ Conllrmatlon N <br /> SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot N Storage Location: <br /> Other PC M <br /> Business Das ❑ <br /> QA I OC LEVEL <br /> BLUE❑ CLP❑ OT ER FAX❑ Work Order N <br /> �Iqulshgdy Sampler, ate Time Received by: <br /> —411 <br />' elinquished by: Date Time Received by: <br /> CUSTODY R <br /> RECORD Relinquished by: Date Timeed by Laboratory: <br /> 19,3kB-- �Fyb�I # <br />