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r f _ <br /> 'tUOU F'II\C LNI4J_, aUi I t t,, _ <br /> GhT� C-7 CONCORD, CA 94520 ND ANALYSIS REQUEST L b U Z) � <br /> EN VIRONMENTAk� (510) 685-7852 .. i i <br /> 1AloftAtONIfi. INC. (800) 423-7143 �ih���p.•'s Jf'i �l•'�;Inj ,�£- ii:l � ;� �. � • <br /> >mpany Name: Phone#: <br /> FAX#: <br /> )mpany Address: Site location: 10 0 <br /> z <br /> ( S2 Gi aC <br /> oject Manager: Client Project ID: (#)��-ZQ��g�_��SO ❑ o ❑ p <br /> m <br /> NAME i ❑ ❑ ❑ ❑ z z o p Q <br /> Mest that the proper field sampling Sampler Name (Print): _ ❑ a� ci � ❑ ❑ .E ❑ ❑ ❑ <br /> 102 <br /> ocedures were used duringthe collectio ❑ ❑ o < —I .0 m <br /> these samples. ILI Y ❑ W ❑ t C ❑ a O a <br /> H Matrix Method Sampling W a in ❑ a o o ' <br /> 1 Field GTEL Preserved z �, e ° ❑ o W ❑ ° g ❑ a ❑ <br /> Sample Lab # w ° ❑ ❑ ❑ a a ❑ ° ❑ <br /> ID (Lab use on v J Q o -w w ` <br /> a o Cr aac i1 z 15 w m a aa¢ a a a a a is <br /> 3 <br /> co a cn a o x x x t? . o � m x z o 1L 8 uai w ItJ w lair r w cd3 c� <br /> Z1164 <br /> 4 fof I <br /> it I I I <br /> fo 49 <br /> 1 t <br /> Z <br /> h ,.L <br /> ki <br /> vel Z <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS <br /> i � <br /> ?rlorlty{24 hr} ❑ GTEL Contact <br /> Expedfled(48 h►) ❑ Quote/Contract# <br /> r Business Days ❑ Confirmation N <br /> OtherpO w SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot# Storage Location: <br /> Business Das ❑ <br /> QA!QC LEVEL <br /> BLUE❑ CLP❑ OT ER FAX❑ Work Order# <br /> e'nqui hed by Sampler: Dat Time Received by: <br /> CUSTODY Re' quishid y: to Time Received by: <br /> RECORD Relinquished by: Date Time Re i d=y Laboratory: <br /> +ay.7/9I Waybill # <br /> Vl\. <br />