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080 PIKE <br /> SUITE <br /> r E ^ CONCORD, CA LANE,4520 C ND'ANALYSIS REQUES ORD 26574 <br /> u <br /> �O N Y r N r A 1 <br /> (510) 685-7852 <br /> + i N Y 1 <br /> IAiORAlNC, (800) 423-7143 <br /> zany Name r.pN.u ` Phone# / 7-2::) <br /> FAX N -5r 7.L—g?S/ ❑ ❑ <br /> )any Address Site location M w a = ❑ <br /> C ❑ <br /> a. <br /> CI Manager Client Project ID (#}QUO ❑ ❑ r `� ❑ ❑ 6 <br /> I�q ± � ❑ r <br /> CD w <br /> ►"+ `� �/ U��O GI03 Co <br /> NAME f r'! c�'n�r� mat_ ,—o ri ❑ ❑ ❑ ❑ z z ❑ q ❑ <br /> st that the proper field sampling Sampler Name (Print) ❑ r?, ; ❑ ❑ d E m ❑ a ❑ <br /> idures were used duringthe collection ❑ "' ❑ ID "' '' a n N <br /> n p fyl C' a Q o o a q ❑ 0. t� ❑ fl <br /> $se samples �� y `i4 Sri ❑ a u7 N ¢ L <br /> Method o V m `�' Cn m a m m ❑ m m ❑ <br /> in Matrix Sampling m a ❑ n is a a o ❑ © _o ❑ g p 1+ <br /> Field GTEL c <br /> Preserved ❑ _ c m ❑ © w w m a ton <br /> ! r ❑ D ❑ <br /> N F N r r ❑ ❑ ❑ a 1:3 <br /> Sample Lab # � d 1 �, o N m '4 N x 2 s <br /> ID (Lab use onlyc� o o w o �w ,� o o a yp <br /> Q O ¢ � � F=- U Z w �a Q = a d a a a a a (U a. ¢ rn of <br /> I4 ¢ c) a 0 x x x �? nN o H m m x S O w w w w w w w w w H w U a O U <br /> fa <br /> T1 4. 1-r2> <br /> 01 <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS <br /> Liy(24 hr) ❑ OTEL Contact O� <br /> palled 46 hr <br />� ( 1 ❑ QuotelContraci N <br /> �sln a Qay� ❑ Confirmation M <br /> 07 POPSPECIAL REPORTING REQUIREMENTS Lab Use Only Lot # Storage Location <br /> nes&Da • ❑ <br /> QA I OC LEVEL <br /> E❑ CLP❑ OTHER FAX❑ Work Order# <br /> Relinquls d by Sampler ate Time Received by <br /> 'U STO DY Relinquished 4,1 <br /> /y g3 l4 Time Received by <br /> I E C O R D Relinquished by Dale Time Received b L boratory LYS►i J <br /> IArr�,ihlif $ <br />