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4080 Pike Lane CHAIN-OF-CUSTODY RECORD n CUSTODY RECORD f <br /> NGTEL Concord, CA 94520 800-544-3422(In CAI AND ANALYSIS REQUEST 72- 13640 <br /> t� 1NVIANCIN EES" INC 415-685-7852 800-423-7143(Outside CA) ANALYSIS REQUEST <br /> Project Manager Phone # 9r�3' ��, 70 , ❑ ❑ ❑ ❑ <br /> FAX# j?o� �) � )-?/ 0 is -2 13 <br /> y ~ <br /> Address Site location ek?, r-4?4�a La ❑ ❑ ❑ ❑ U ❑ p <br /> �G 13 <br /> / Gr /C�vd �U !tel J+ �, ,1. . / m o �2 z W p c `° N y ¢ = O m <br /> Project Number Project Name m �` cis v Q N + + ❑ O> o ¢ <br /> a m rn to C1 3 <br /> p > a' / - i - 3 ❑ O ❑ � A a Z Z -0 to ed A C3 <br /> ❑ <br /> t attest that the proper field sampling Sampler Name(Print) H - � N ❑ `� g o <br /> procedures were used during the collection LJ °' �n ° d a c R v = <br /> � m E ❑ ❑ ❑ ❑ ❑ <br /> ° <br /> of these samples v LL <br /> N ° 0Vo N ❑Field Source GTEL "¢' Matrix Method Sampling w 11 o <br /> d mn 00 NN 0. ;tv <br /> a <br /> Sample of Lab# z Preserved ❑ (5 0 o � W 00 o ❑ ❑ a o n ❑ � � � o � ❑ � � <br /> ID Sample (Lab use w Q ¢ coo 0- u d 0 0 0 o N N <br /> only) z W o w M O w w w w X ca 0 a to co co co m w O a a <br /> dU a a[ - Z tN w z H ¢ w w = a ro 1° d a a a Oa. a a 0 a � U U � m a� <br /> O` _ I- c� W2 z t- ►- t1 0 0 <br /> o �i W <br /> # 3 cn a u) O = 2 T - z 0 d H m m I- a. I- r w w w w w w w I-- w cc X ¢ <br /> E E E <br /> 2 l'7 t' l'- <br /> SPECIAL <br /> =SPECIAL HANDLING SPECIAL DETECTION LIMITS(Specify) REMARKS V <br /> 24 HOURS ❑ E <br /> EXPEDITED 48 Hours ❑ <br /> SEVEN DAY ❑ V + 13 <br /> OTHER (#) BUSINESS DAYS <br /> QA/QC CL Level ❑ Blue Level ❑ SPECIAL REPORTING REQUIREMENTS Lab Use Only Storage Location a3 Q v <br /> l FAX 13 (Specify) Lot# Work Order# c c c <br /> Z aI w <br /> Cr ac ¢ <br />