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iJ <br /> _ - - — L • _ - -__.�_1�t- .bS iVJ - <br /> • <br /> 4080 Pike Lane CHAIN-OF-CUSTODY RECORD CUSTODY RECORD Li <br /> WGTEL Concord,CA 94520 800.544 3422(In CA) AND ANALYSIS REQUEST 72- 13668 <br /> E N V I R O N M E N T A L 415-685 7852 800-423-7143(Outside CA) <br /> LASORATORIES INC ANALYSIS REQUEST <br /> Project Manager Phone# ;-;,r, t 11 {j'f ❑ 0 ❑ IG <br /> wa ❑N C7 <br /> r}') <br /> lit <br /> ' l T ^C' �C i (� FAX# m o 0 0 O <br /> Address Site location 7 7 r+r, r,ii 1 ❑ El LIJp ❑ ❑ p C7 E3 2 ❑ o 6 �\V k <br /> -,T l G l5 c l; I A .J f/1 Jt� o �„ m �' N = a O m <br /> Protect Number Project Name ❑ N a N p ❑ ob rU <br /> p C U U m m N w v, $ 1" i3 <br /> —l'1 . Zt)14 , 4o,1i) L�r1i%li ❑ u, p a o a z z „ u, r ❑ ❑ c c3 <br /> I attest that the proper field sampling Sampler Name(Print) m y u w ❑ � m o <br /> procedures were used duringthe collection ❑ O m i-n `' ° m a c a <br /> of these samples !1 f `, L.1 Jl _- N N L) n'' ❑ ❑ ❑ ❑ ❑ ❑ a O N <br /> p ❑ 2 U. <br /> Field Source GTEL Matrix Method Sampling co `O `� m E O N W o v I- e v ❑ <br /> ui �n �'' T D O a O co N N p a. s` x <br /> Sample of Lab# z c7 " L� m m ao m m m m p ❑ n <br /> Preserved ❑ o o ❑ p ❑ p ❑ ❑ ro <br /> ID Sample {Lad use a w L" _ ❑ - °d o � v -0 <br /> only) z w o w OTw2 ., <br /> w w w `x° m 0 a- w c�a m Io cNa � ) a d ti t Z <br /> Ua ¢ x O N z � w w x Q m m a a a a a a h a ) , u Las <br /> p _ U Z 1 ¢ F a o o a a a [l ct a a v a a cn d x S O ❑ }= m r a I- L- w w w w w w w w J�/,A acc <br /> W r, m m <br /> SPECIAL HANDLING SPECIAL DETE=CTION LIMITS(Specify) REMARKS <br /> 24 HOURS ❑ Mir r 1 t r I' I" t°' `__? <br /> I <br /> EXPEDITED 48 Hours El <br /> SEVEN DAY ❑ <br /> OTHER 1.0 BUSINESS DAYS4' La co� <br /> QA/OC CLP Level ❑ Blue Level ❑ SPECIAL REPORTING REQUIREMENTS Lab Use Only Storage Location 3 a <br /> 3 'o <br /> FAX 11 Lot E c c <br /> Lot# Work Order#, m aI m <br /> a a a <br />