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CONCORD,CA LANE,SUITE 520 C CHAlN-QF-CUSTQLr?1'`RECCJRD <br /> 4080 PIKE NO .F �4 , <br /> GTEL estO ,C AND ANALYSIS REQUEST 34042 <br /> (800) 423 7443 <br /> Company Name Phone#tgS,O) t0-4., <br /> G T I FAX# ❑ ❑ 4 -e 0 <br /> 7 <br /> Cortlpan Address Site Location (� "' c ❑ Q <br /> yD� -ear* u, <br /> C4-+ r.D Nay SfS G.-on L, c 9& ❑ Cl ❑ a g <br /> GZ'n <br /> Project Manage Client Pro e t ID (#) ❑ ± + O <br /> 1; ❑ ❑ EJz z ❑ i ❑ ❑ <br /> I attest that the proper field sampling Sampler arae( rint) ° ❑ n Z. <br /> ❑ ❑ ❑ rr <br /> procedures were used during the E q ❑ 0 a � r$ 0 <br /> collection of these Samples ` rn d fv �_ N p <br /> Method m `� m Q $ m ❑ m ❑ CL <br /> 0 p r• <br /> Matrix Sampling o �, o �► ❑ c, w a ❑ ❑ o <br /> Reid GTEL W Preserved © � ❑ ❑ w w 4 a ° •, ❑ © ❑ <br /> Sample Lab # a v c ;qq ❑_ ❑ ❑ o <br /> ID (Lab Use z w ❑ o w Ww wF w w x 25 c c[ $ 4 `rbr `�' m O <br /> l only v a p ¢ wx �y w z W rx- a r ►w- tea. `0 a o a a n� a n4 nd a o� c-'i d a ro g <br /> x O_C.c+ayl)l r=- m m II x. z 4 r w w w w W y{w�{ w p w w F w,_�iyyi <br /> (�� \' ' � T •p ft /� 7 YT x ;a f' _' s }Aw �19. r'9°Yy Y�� i� 1i,��`It'3 �w"1 J � ; S' ` \ 'i <br /> 07 tA) <br /> S, , <br /> A t '! �j r► f <br /> (� _a } Jf�d t r �:a Tj(, fr r " 5 ;y 1,i <br /> r <br /> )_•t ta] 's� 'r3` f r` "G" "f "��� ii iiv �� tjrF-�` i v S r '•i <br /> 'I17 C <br /> ter-}�� <br /> Il'i b"1 h [,� <br /> f7 4ys 1 !' "iki t <br /> TAT Special HandlingSPECIAL DETECTION LIMITS REMARKS 1 <br /> Prconty(24 hr) n GTEL Contact �A) <br /> i ' <br /> Expedded(48 hr) (J Quote/Contract <br /> 7 8usrness Days C) Confirmation 4 <br /> o <br /> BuSirtes�rtess Days ❑ PO N SPECIAL REPORTING REQUIREMENTS Lab Use OnlyLotti Storage Location <br /> g ion / <br /> OA1QC Level C A0 <br /> Blue❑ CLP ? Orher❑ FAX[I Work Order# <br /> Relinquished by Sampler Date Time Received by <br /> a <br /> ZL2 r6_ <br /> . CUSTODY Relinquished by I ~ to` Time Rec d by -. <br /> RECORD <br /> Rehnquishe by Date Time Received by Laboratory i <br /> Waybill q <br /> � �'f <br />