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I , <br /> 4080 PIKE LANE, SUITE C CHAIN-OF-CUSTODY RECORD 419 8 6 <br /> IELGTCONCORD, CA 94520 AND ANALYSIS REQUEST <br /> (510) 685-7852 WHIM <br /> (800) 423 7143 + + <br /> Company Name Phone# 16) 372-4701 '" ❑ <br /> FAX H 916 372-87 7 �. eCI <br /> Fluor Daniel GTI ° D I < ❑ <br /> Company Address 1401 Halyard Or. Site LocationU CI Q Q E7 ❑ <br /> Ste. 140, W. 5acramPnto, CA 95691 S' � �� r rr: o ,� a a p i] <br /> cm <br /> Project Manager Client Project ID (4) 0 O ± ± m < � o z <br /> Store # D n in N m V = 0 Q 9 <br /> Ja u m o — sN ❑ tT z Z > ❑ Q <br /> 0 El <br /> !attest that Ihg proper Itetd sampling Sampler Name(Print ° o d ❑ D tr a fn -5 a I� <br /> procedures were used during theVr7�W1 ,g ❑ a 'n ❑ a <br /> collection of these samples 1�v1'� o _ p m <br /> Q m UL e M M 0 m m N ❑ a 0 - U N <br /> Method N `d` V o v u' o a ¢ a o o ❑ > ILL <br /> Matrix preserved Sampling c " D 0 Q o � p d � Q <br /> Field GTEL E� <br /> u! 0 y c Dp c p Q p Q p❑ a a Q m R O 2 <br /> ul <br /> x !-- N 4v ` V in r7 t0 �D 4C N N X d N C VI <br /> Sample Lab 1t a u, �� t� a a n w o <br /> ID (Lab Use z w 0 0 w d cc> W? r w 9 `m m a a a a a a a <br /> 1 <br /> only 4 O a 0 zU) H U .1 P-1 a m m x O 0. iv w uai u4i w w w w w H w U O 0 <br /> M . rrs a vt a O x x x w, O_ �(o r- , y <br /> ( „ 01 -3 iI r,�� : !r ±, 'ii R 7• �f '. �i� r'}�a, ? may' t' r afs S • +*1' f Iry ' <br /> 73 0 <br /> `lV J <br /> +lit I,{ <br /> T? j t <br /> t ' <br /> lit <br /> � TAT Special Handling <br /> SPECIAL DETECTION LIMITS REMARKS <br /> Priority(24 hr) E_i GTEL Contact <br /> Expedited(46 hr) n ouote/Conlract ff <br /> 7 eusrnets Days 1-1 Confirmation It <br /> oche Gu Lab Use Only on �-� Q� Storage Location . <br /> SPECIAL REPORTING REQUIREMENTS Y Lt p P� v <br /> Bustnes7 Days ❑ P O M <br /> OAIQC Levelf nC <br /> Btue L1 CLP(11 Other LI ��— <br /> FAX Work Order p <br /> rRelp <br /> ished a r Date Time R ived by } <br /> �+ V L21-255— �J•J <br /> CUSTODY shed by4 Date Time � ReceNed by <br /> RECORD -1 `'~y <br /> Relinquished by Date nTQime Received by Laboratory 3 7 7 Z LL <br /> J9- 11-9609 �jWaybill N <br />