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4080 PIKE LANE, SUITE C . CHAIN-OF-CUSTODY RECORD 302-70 <br /> C■ ` CONCORD, CA 94520 AND ANALYSIS REQUEST <br /> 1NVilOXMIXIAt. (510) 685-7852 , <br /> LAIONA101111, INC (800) 423-7143 <br /> Company Name Phone# 6',1 <br /> ❑ ❑ <br /> FAX# ❑ � z ❑ ❑ <br /> CnCompaSite location D C]Address Mv% aLVn ❑ 0to <br /> ❑ <br /> L ❑ �[] N U ❑ ❑ y <br /> CI ent roJect ID (#) © w 2 ± ` -e ❑ a co <br /> pProtect Manager �n� 1� �f'7wq'-1y •�'!� r o a ❑ t7 z z ❑ ❑ <br /> aC as m cn u c S ~ <br /> NAME r o ❑ 0 ❑ c ❑ ❑ m E � ❑ ❑o <br /> 1 attest that the ropes field sampling Sampler Name(Punt) n y v ❑ ❑ m a ¢ in o v o <br /> procedures were'used du)ing the collection /,� • • C �, ❑ ❑ ❑ a N C a <br /> of these ea ea I o c eZ m �_ U 'n $ ❑ N ❑ O = ~ <br /> cel = N m ¢ m 7 o u.. <br /> trlx Method Sampling 9 0 2 ❑ " w a ❑ ❑ H p a 0 ❑ <br /> Preserved , C] u w w a a `� y 'M U <br /> QTEL U a m g ❑ ❑ ❑ a ❑ "' <br /> $ p Lal) # was r< o <br /> (Lab use only) c� + o O w ti _ 3 m ¢ a a a a p4 <br /> a: 0 Cc z <br /> to F T W W W w W W w W W h tit U O U <br /> 3 ¢ NCLOAHA <br /> a a o42v X <br /> .- <br /> AA /I I H+ ii <br /> T <br /> Nl 1 <br /> REMARKS Q <br /> TAT Specht Handling SPECIAL DETECTION LIMITS <br /> Prlorlty(24 hr) ❑ GTEL Contact 1 <br /> Expedited(49 hr) ❑ Quote/Contract N ! "ation 7 Business Days ElConlirmallon NSPECIAL REPORTING REC!UIREMENT5 Lab Use Only Lot# Stora <br /> Other PON s <br /> Business Das ❑ 1 ! <br /> DA 1 QC LEVEL rill 0;06 —02111 <br /> BLUE❑ CLP❑ OTHER FAX❑ Work OrderN <br /> Relin i ed by Sa pier Date Time Rece v b <br /> CUSTODY R Im ed b e Time R elved by - - <br /> 8 l 3 30cv <br /> RECORDReli ed by Date Time Received b Laboratory <br /> I 1 <br /> ,�., 1,131M3 1 �� Waybill w r <br />