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l 1 <br /> �l VISI <br /> VP IA41bpa'F rAft-- <br /> CHAIN-OF-CUSTODY RECORD , + ' i <br /> IGTEL 4o80- rd, Lane 72- 13638 <br /> r -S CUSTODY RECORD <br /> Concord, CA 94520 800 544 3422(In CA) AND ANALYSIS REQUEST — l 2- 13 6 3 8Iiiiiiiiiiiff y <br /> k N V I R o N MENIAL 415-685-7852 800 423-7143(Outside CA) 1 ' <br /> I AaORAIORIES INC ANALYSIS REQUEST j <br /> Project Manager Phone# �_j�! ,�7 3, ❑ o ❑ ❑LIJ <br /> co <br /> f3 `1 <br /> ✓c"f2tf .C:Gf��/ _ FAX# q/,z, i 7'�4� - o L0 13 <br /> O v ❑ ] 1� <br /> Address Site location ,-lam �� �, u <br /> [10 ❑ ❑ ❑ ❑ n El (3 �# <br /> /cJ 7G r: �„ . G. _�^ -� m 0 :1 ❑ T C 0 In T ¢ S O <br /> ' Project Number Project Name N C9v a° m ClO9 © o v <br /> p v t <br /> ; in a a <br /> ❑ C, z z U N n Q <br /> I attest that the proper field sampling Sampler Name(Punt) N in ❑ g $ o <br /> procedures were used during the collection C3 m N °2 o l a s L) r <br /> of the>}e samples j /U L. z'j <br /> # Q ' in m 11 ❑ Cl of <br /> 13 ❑y = <br /> - ca N W o ooMatrix Method SamPI+n9 �, a ❑ <br /> O oField Source GTEL CO) 2Q o 04 <br /> W M Co N COCOCOW co COs 4a,vr.• <br /> ❑ <br /> ❑Sample of Lab# Preseed o <br /> � a ZNU <br /> y>Ct dT <br /> ID Sample (Lab use s - 2 ❑ M ° ma u 4 m <br /> only) z Ir0 ,n a- <br /> a 1CC w w X W a <br /> r 2 0 ap ¢ o o ¢ a <br /> Orvu1 p 0 o a w <br /> U °� <br /> 3 a O ds <br /> cc a a: <br /> - <br /> s-r� <br /> -s 3 -Z- _— ,L <br /> ' Z' +� <br /> —�L ' <br /> 11 LL <br /> i <br /> SPECIAL HANDLING SPECIAL DETECTION LIMITS(Specify) REMARKS { �� <br /> 24 HOURS III E <br /> 4 EXPEDITED 48 Hours ❑ <br /> SEVEN DAY ❑ <br /> OTHER (#) BUSINESS DAYS nCD a �0 <br /> QA/QC CLP Level ❑ Blue Level ❑ SPECIAL REPORTING REQUIREMENTS Lab Use Only Storage Location Cr Q <br /> FAX D (Specify) S c c <br /> Lot# Work Order#� '@ C Z <br />