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An- <br /> 4080 PIKE LANE, SUIT= C CHAIN-OF-CUSTODY RECORD <br /> GTEL C N O DaC 94520 AND ANALYSIS REQUEST 366 -17 <br /> 3 <br /> I <br /> ,, (800)423-7143 + 1 <br /> ompany Name Phone# i,o .� /f�3�•� <br /> LLLfL l - FAX# L I I <br /> Cn` any Address Site Location m i 1 z rr l 0 I <br /> r n n ° a <br /> CI nt Project ID (#)64&,L0102I 1 N i <br /> Project Manager 1 P z '- <br /> �• rG CJ <br /> o i <br /> (}C l ant <br /> AM m o N al I ! _I I ? I E iv <br /> attest that the proper field sampling Sampler Name(Print) � a � 5 � I 1 � I ! o -J a <br /> procedures were used during the 5 I I o n "' 1 3 I I t- r �, <br /> collection of these samples n' t l I E <br /> Mtw R <br /> �L' p (0 m a o o N a o m a a <br /> 11 u m rr U 'n to aoo m m a 0 �, i, <br /> CU <br /> (n Matrix Method Sampling o c, 0 e d 1 1 o w a a I I . a y ' IJ �, I U <br /> 0. <br /> Field GTEL w Preserved i I c" C m vl I I '�" 11 n m1 m M n i ti I I I <br /> z o 11 I I I a a g m m <br /> Sample Lab# W g �; uA �U M N p� a �, p X <br /> ID Lab Use Z w p O W wa w= w W x O O L u�l m a fD O Q 2cc <br /> I <br /> r A x m a a a a a a ¢ F a <br /> 1 <br /> only a o ¢ m v N w is a �_ 1, rW >, : — a o a a a a a a a a v a `a a <br /> y u m a -J 4 x 2 2 U ZN Oy O F m m X 2 O F W W W W W W W W W -I- W !� I _J C� 1 I } <br /> '10of - - - - --�-- <br /> LL7 oz - - -�-- - - - -- - <br /> mw.i3 03 - <br /> .• 05 ?io - -- -- - - <br /> 08 - <br /> Oq <br /> 0 <br /> TAT Speclal handling SPECIAL DETECTION LIMITS RFMARKS <br /> Priority(24 hr) r, GTEL Contact <br /> Expedded(48 hr) Quote/Contract# �_- <br /> 7 Business Days <br /> Other_ Confirmation# <br /> Business Days r7 P O # SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot u Slnr:�ye I oc�llo+1 <br /> q-vC t v s= 2 <br /> OAW Level <br /> Blue I CLP_ Other[-I_ FAX❑ Work Order If 17 - <br /> Rehnquis ed am r ♦ ltq'r tae Received by <br /> CUSTODY <br /> RECORD Relinquisli e y Date Time Received by <br /> Relinquished by Date Time Received by Labo ntory <br /> S U Waybill# e�-4 -' <br />