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AmokL <br /> 4060 Pike Lane CAM-OF-CUSTODY RECORD CUSTOAECORED ' <br /> GT E L Concord, CA 94520 600 544-3422(In CA) AND ANALYSIS REQUEST 72- $a 41 <br /> • 852 800-423-7143(Outside I <br /> rNYIAONM[NIAI 415-685- CA <br /> 7 ANALYSIS REQUEST o <br /> IASOFAIOQIiS INC <br /> Project Manager Phone ❑ ❑ ❑ <br /> LU ❑ ❑ <br /> ----- FAX# T�-- - - -- a uQi a ❑ <br /> LJ _J❑ 5 <br /> Address Site location Z2-1f 6401c04T ❑ ❑ ❑ ❑ ❑ ❑ n ❑ 0 0 � <br /> MI 1lJ CA 1 C + EDO L <br /> n " N CO C ON N O o° + + <br /> Project Name CO �Project Number � n ❑ 0 <br /> o ' ❑ Q c v z z m d _^ m ❑ <br /> O'2-'5 2p (4 ta(e- --- - -- - ��Qt ITN +Ql�! _ 0 ❑ N ❑ �' ❑ ❑ <br /> I attest that the proper field sampling Sampter Name(Pring LO N Z ❑ M $ <br /> e0�, Um procedures were used during the collection ca1 NN <br /> $.- <br /> of these samples ❑ ❑ ❑ ❑ ❑ ❑ <br /> , i u�d <br /> N CO 'Q 0 n <br /> Field Source GTEL a_ Matrix Method Sampling0 to E dn <br /> y m m m CO Co CO <br /> ❑z PreservedSample of Lab# a o ❑ ❑ ❑ 0 ❑ ❑ d a> <br /> 4L❑ OOONNID Sample (Lab use 0 - 2 <br /> O a 01 <br /> C4 > <br /> only) z a a Q <br /> az a a <br /> m w p <br /> [ v 0. uaa $ ° U <br /> 01-- aao. <br /> m � U U <br /> O z O W rWF ¢ ¢ <br /> aE <br /> Pc° <br /> N d o <br /> Nzz <br /> i <br /> oQ' <br /> om <br /> SPECIAL HANDLING SPECIAL DETECTION LIMITS(Specify) REMARKS a eft r S -hFS r_(O C-ITI <br /> 24 HOURS ❑ [o,uCo�� . Qvfe~Sri oAJ� Gae <br /> a E <br /> EXPEDITED 48 Hours ❑ l-f� WAl2 , <br /> SEVEN DAY ❑ f�LSs. v a d <br /> OTHER-M BUSINESS DAYS <br /> QA/QG CLP Level Q Blue Level ❑ SPECIAL REPORTING REOUIREMENTS Lab Use Only Storage Location Cr <br /> FAX 13 Lot*Lot# Work Order#• - a <br /> � m <br />