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h 4080 Pile LANE, SUITE c WAIN-OF-CUSTODY RECORD 93536 <br /> GTE L CONCORD, CA 94520 AND ANALYSIS REQUEST <br /> (51 D) 685-7852 <br /> 1111111111110. Aso ,", 8�0)423-7143 <br /> Company Name Phone#(Sio) 6-71- a397 <br /> Arovini ( OL6 TV, FAX# C51a) 685- 1 6 ❑ ❑ ❑ <br /> 1� ria O m ❑ <br /> Company Address qo�� porl C�,&3, Site Location A97 n1An+ &JIvd M ev ❑ p CC o <br /> j yy� U <br /> Coy�ctx ! rGC� �R '� ❑ ❑ ❑ ❑ ❑ <br /> Project Manager Client Project ID (#) CfX20102. 6201 I7 © I m ❑ a N <br /> ❑ a rn <br /> VOCtb G� co -eq ❑ ° oa o E ° ❑ o cc <br /> I attest that the proper field sampling Sampler N me(Print) N b o ❑ ❑ o a a u n ❑ <br /> pr cedures were used during the ,�y� N ❑ ❑ <br /> pp I � !A� C�t � ❑ ❑ "d a o N a m ❑ a° ❑ a <br /> cailection of these samples ] 1O o 0 <br /> 2 2 U 'r' o �m ❑ m m ❑ a O o n r <br /> ' Matrix MethodSampling o 0 � ¢ a ❑ ❑ ' $ ❑ 2 <br /> § Preserved ur i c ❑ ❑ W W d a m ° H ❑ ❑ <br /> Field GTEL Z ❑ r ❑ 13 ❑ a ❑ R �, N J <br /> Sample Lab# a w N �q c� m N a m m " m R <br /> 1D Lab Use to <br /> z w ❑ ❑ w p W� wr w w x �Z v <br /> p ro m a a a a a a a a <br /> { ~ =' U w a¢ Q Fw- ;, ;, — ❑ d d a d d d d d U d a m a O <br /> only oN a co a o s s x vN o� ❑ m m x o w w w w w U.I. w F- w v � o v <br /> a �< tSxw, k f <br /> aV tl% lw��r i " Y� 'fl�nr i �'� t. a- xs ae�u �3 mSu � 4 .sssxx k " e <br /> wN is _ 02 r I � <br /> 3d F <br /> �3 `` ,� '� t�� a��,+ c�.��,��r a _� ,� w�. �'s a it <br /> ��g'r.--�t,�, `° '�a_aS� •y4�o "#g�`�" ° `� _ a � °,9r s� � S �' t � c �� � c n u � .r F�a,�, .�j� <br /> .8 cY <br /> µz �' F r + t«,. " , : ' '�- �" "Y .. �3 v i?�'w 3�'7 •f „, a$ `'°- 'K `yw 'z <br /> 1 1 <br /> p 5i 4 <br /> V ,f a'� -S` 4t' J.,,h7 a <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS ps� r <br /> Pnonty(24 hr) ❑ GTEL Contact <br /> Expedited(48 hr) ❑ Quote/Contract# 6&q�10102 <br /> 7 taus:nes D s � Confirmation# <br /> Other^ SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot# Storage Location <br /> Business Days ❑ PO # <br /> OA/QC Level c t/0 0h 7 <br /> Blue❑ CLP❑ Other❑ FAX['3 Work grder# v k—)L. I f <br /> Relinquished by Samplerpatp Time Rec +ved by <br /> CUSTODYZ 9//02 1 Y7 <br /> RECORD Re4nqu+she by � Da i Time Re +veil by <br /> I r'F , vu <br /> Relinqu+she y Date Time Received by Laboratory <br /> �� <br /> 00 1 Waybill# �IJ` + <br />