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IGTEL CONCDAD,CA 9452Q PIKE LANE, SUITE C i <br /> CHAIN-OF-CUSTODYRECORD F - <br /> CON <br /> (510) 685 7e52 AND ANALYSISREQUrEST <br /> 39168 <br /> ""'"'•"" (800)423 7143 <br /> r <br /> meanly Name Phone A (q 1(,}312-y 7oU <br /> rAx� � 3'! -8 8 I Q <br /> Company Address Slle Location L` Or4t(t1Vr �C Tr <<r W = e t? <br /> Nof k It ark{ -Dr SSC ll U WQ Cratrerl� �.� 4 ° ❑ (10 <br /> Project Manag r : ¢ $ <br /> Client Prolocl ID (A pZ p-1 0Q 105 <br /> a ❑ H a ❑ 0 ❑ <br /> O v 4 f © .J <br /> ((NAMe So q ❑ a N sn i o f <br /> • 1 alias!Thal the proper field sanvien9 Sarr►plar Name(Print) C, ❑ ON ❑ ❑ TM z D O ❑ p <br /> procedures urate used dunng ilio a r r3 a e O ❑ ++ © Q <br /> collodion of Iheso sarr !cs ' ' m e " ❑ © r $ o ❑ 1 <br /> o ; ❑ S "' 11 to c a h <br /> d <br /> °N Q �`` ❑ S'" a i6 €� � OaMatrix Method <br /> Sampling o ❑ a o ❑ adField GTEL Preserved ❑ <br /> J51E aSample Lab W 7 0 a <br /> ❑� 13 1 K1D Lab UseW ` <br /> Qn <br /> nnlf > p 0 � � 3 ❑ <br /> v a <br /> I <br /> h [ —i .:r F ... w au .0 w w W W <br /> -"�.f/�'✓.�•t 7�_�J'`ry�'��] 'ij �` $� �i f � L: �; ± �, ��� z- �^ rt ,As ,t OY. <br /> V <br /> - /y��`- a_ _ `�}ter_ v Y vf• 2 1 &: ray j`I - t L , ; z5� , , �F� t c <br /> .Lz-+ � j j* - j <br /> _ <br /> _ f t 91t It 22 <br /> +F - SJ { <br /> M.� _ oK -:� _ r A f } T i �. `_ •t ? <br /> �"rbe'�j_~�, ,s.:`;A�:#-�.: � r� �'// 7 r�, •- ;c sof •s,� ,;,�,' _- <br /> — � r�iw <br /> ;tea 91. 's � ` *. '+/ `F �- <br /> 4_ rs' r •_ am <br /> bi <br /> TAT Special Nandlinir. SPECIAL DETECTION LIMITS REMARKS <br /> Pnonry(24 hr) p GTEL Contact <br /> Erpodded(48 hr) O QuolelConlract A <br /> pus,ne b♦ p <br /> �,�►y..( Conlnmallon A ' <br /> lnslness oat's P0 R SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot 8 Slorep Locatfon <br /> OA/QC Level , f-- <br /> Ofue rj CLP U Mn 0_ FAX❑ Work Order 8 <br /> r <br /> [ReffnWshed <br /> r�^ulshcd by Sampler's <br /> / '' Gale Tine Received by. <br /> CUSTODY �-= q—.70-ald <br /> RECORD ingmshodby Dale T <br /> rrrs� Race <br /> by Dale Time Received by Laboratory <br /> - <br /> I Waybill A <br />