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IGTEL4080 Pike Lane CHAIN-OF-CUSTODY RECORD CUSTODY RECORD <br /> Concord,CA 94520 800-544-3422(In CA) AND ANALYSIS REQUEST 72- 13639 y <br /> EN V I R O N MEN l A E 415-885-7852 800-423-7143(Outside CA) ANALYSIS REDDEST <br /> tl_ ►ABORATUR1ES INC <br /> Project Manager Phone# 91,G 4 w 74,,3 ❑ CJ ❑ <br /> w w ❑ ❑ <br /> SG �4L� r=Ax# sr� ���_ � Cl) Lo a p a <br /> Address Site locations",., [`&G,:4 0 LO U J 5 <br /> W LO m Q ❑ ❑ [10 ❑ U) Ti <br /> �S1G/ /'T�� '�.:t cL.'``'�/SIU l��, ri f T.�r •�c� „ �i, •I1 ti'�I m , N c C N x a O A <br /> Prolect Number Project Name o r o y ;- + o> v ¢ ca <br /> .L0 <br /> ❑ d w a m to co ❑ ❑ <br /> i r 3 Q Cd r CO Z W $ ❑ <br /> H ❑ O n � � 19 O ❑ c_ <br /> I attest that the proper field sampling Sampler Name(Print) �, r is + w <br /> rn � (7 ❑ � oS n O <br /> procedures were used during the collection Q �' O a k N 0 <br /> A 00of these samples ,//JL. .� Ln,C r',- C--�»� N N O 0 a 11 [31❑ ❑ ' O ❑ > o ry o <br /> = ¢ Dcc a <br /> ❑Field Source GTEL Matrix Methodmpg 0e N 13 0 <br /> m0n N va � ay ❑w AN CO CO CO m CO °o 13 <br /> 5.1 <br /> Sample of Lab# Preserved 0 0 R m A M <br /> ao <br /> vo �N>only) co N u p o 0 0 N moco mtp m O aO z I- w < < I.- 0 O a 0VU ¢ E <br /> 0 H- m# = wO ww wW u w w r- w U WIU Sample ;Lab use >` <br /> ix cc cc <br /> 2 <br /> —4 <br /> s <br /> /t1-AJ-7— — - - / -- -E j 'C iC N i4 <br /> - N <br /> SPECIAL HANDLING SPECIAL DETECTION LIMITS(Specify) REMARKS <br /> a <br /> m <br /> 24 HOURS ❑ E v <br /> EXPEDITED 48 Hours ❑ <br /> SEVEN DAY ❑ <br /> + ,.OTHER '` (#) BUSINESS DAYS <br /> QA/OC CLP Level ❑ Blue level ❑ SPECIAL REPORTING REQUIREMENTS Lab Use Only Storage Location Q CrQ <br /> I FAX 11 Lot <br /> c c c <br /> Lot# Work Order# z z <br /> rrI <br />