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F X1080 PIKE LANE, SUIIt U L.rinur-v, ^a.vaAvui #)Lawn&/ .CONCORD, CA 94520 `ND ANALYSIS REQUEST 2 b U rJ <br /> GTE <br /> (510) 685-7852 •�s- r^r,., ta .�...... ..,• ,, ,r <br /> ' - LENYIRONMlNIAi e-'n a� i .t ' �' 'r �� �� R+i•'fT <br /> ABORATORIES. INC. (8001423-7143 - <br /> )mpan Name: Phone <br /> TFAX#: ZS 0 © °c <br /> )m an Address: Site location: ujd° <br /> ° <br /> � in ❑ x ❑ <br /> C d!� Lofty _ {• ° 2 ° � ❑ <br /> o ect Manager: Client Pro ecl iD: # a :fl ❑� S <br /> g ( '©zo 03 3�z ❑ <br /> n <br /> ryNAME L �'" Q ❑ o 13 ❑ o00 A <br /> .pest that the proper field sampling Sampler ame(Prl t. © gyp} c ❑ ❑ ; E ❑ ❑ <br /> • O Q N ❑ n J J ;CJj U N <br /> )cedures were used during the collection � >, m a a �_ � <br /> these samples. ( ❑ o w a o ° a ❑ a rn Q a <br /> Matrix Me od Sampling '� a W n2 a 8 ❑ D 0 0 <br /> Preserved ❑ 9 ❑ ❑ g fL <br /> Field GTEL ❑ ❑ ❑ ° 4 ❑ ° ❑ <br /> Sample Lab # w � �, � .- ❑ ❑ ❑ 13 J N <br /> ID (Lab use on 3 Q W 6 E5 w tu � <br /> * a o a 0 c3 z s` a T o m a a a a a a a F a <br /> a O x x x ov i= m x o 8 °W ual !� w u� LLt � 0, w <br /> V., 1 x <br /> �nl Z �'"� 2 k• _ <br /> 91 V-j I'L <br /> -Q vJ l <br />'inVis . Z <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS <br /> rlorily(24 hr) ❑ GTEL Contact <br /> ixped%ed(48 hr) ❑ Ouote/Contracl N <br /> •Business Days ❑ Confirmation N <br /> I Ther PO N SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot# Storage Location: <br /> i 3uslness Das ❑ <br /> QA I QC LEVEL <br /> SLUE❑ CLP❑ OTHER FAX❑ Work Order# <br /> WXed by Sampler: ate Time Received by: <br /> 2 <br /> CU sTO DY Re InquIshad y: Date Tlme Received by: <br /> RECORD Relinquished by: Date Time WIXved by,Laboratory: <br /> 0A <br /> r 3v.7191 _.- Waybill # <br />