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' • 16 i <br /> aa8o-silts Lane �- CHAIN-OF-CUSTODY RECORD CUSTODY RL�COF11D <br /> Concord,CA 94520 800.544.3422{Iri CA} AND ANALYSIS REQUEST �� 3 s sIGTEL 800.423.7143(Outside CA) <br /> i�bo:°011 15 INC 415-885-7852 v ANALYSIS REQUEST <br /> Project Manager Phone* (�'�ol(��t-Z3�� ❑ i7 <br /> W ❑ w ❑ ❑ <br /> CNt��S ESO��D FAX# F o 2lu <br /> ❑ t N i-_ <br /> Address. Site location 771? ,vlFFAT p T] ❑ 0 p 0 Q 0 <br /> C* t �'c►+'zZl n�-rFc'R rA m $ � � o -� rNxo = - <br /> Project Number "— Prolect Name'.C; s N v m ❑ E 1] o d' 16 �` <br /> co (,I f Q ilk � o � o �' zz % fl � � 3 <br /> 1 allest that the proper field same Ing Sampler Name(Print) p � � $ o <br /> procedures were used during the collection - a 0 to .. <br /> of these samples M S U TTon1 0 o p z Co 0 o a o o l7 ' , m U. $ �j <br /> Field Source GTEL arc Matrix Method Sampling m a 0 0 CO N 14 _V o a p <br /> Sample of Lab# t Preserved~ o m a C4 Xo 0 0 � n, o C] � n co 12 � � ° � <br /> ID Sample Lab uas a w l � � � <br /> only} b ° w s O Z 2 x m a a a <br /> v a Q F Z v O t- ¢ a ° o a a n <br /> +t 3 cn '¢ us z 0 [� m a. ►- r- w w w w w w w I- w a cc <br /> Z R <br /> k IE p r <br /> ID <br /> JLI <br /> C. <br /> INF <br /> EFE A SI X 9 z K <br /> mIV) m <br /> I-V) 11FIVID -wrivTs -Ta <br /> L <br /> SPECIAL HA LING \,.JSPECIALf3ETECTI �FLIMIT! (Specify)` alt F m 1 <br /> �� � Q , J �` � t��fR1S ti�trSoc c p� <br /> 24 HOURS❑ \ (1'f 16 NCDrzD <br /> EXPEDITED 48 Hours 0 <br /> SEVEN DAY ❑ V <br /> OTHERBUSINESS DAYS m m m <br /> w oro � <br /> QA/QC CLP Level❑ Blae Level O SPECIAL.REPORTING REQUIREMENTS Lab Use Only Storage Location Cr <br /> (Specify) S c F <br /> FAX 0 Lot#• Work Order#: di m m <br /> a ¢ ac <br />