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r 4080 PIKE LANE,SUITE C CHAIN-OF-CUSTODY RECORD <br /> ' CONCORD, CA 94520 AND ANALYSIS REQUEST 3�. Z <br /> ®GTEL (510) 685-7852 <br /> IM VIf OMItI M;YI (800)423-7143 + + ' 1 <br /> t�lOf�llilllt C <br /> Company Name Phone# {J�j + a � <br /> Ir �QC�i1d # ° © z ° ❑ <br /> f Company Address Ste Location ❑ ❑ o <br /> 225 Mtn FFAT B3 VIS ❑ ❑ ❑ 2 U ff <br /> a m9ent Project ID oroiect Manager w U° o z O °a ❑ ❑ ❑ z <br /> 1 attest that the proper field sampling Sampler Name(Pnnt) a y o Y ❑ ❑ o J J � Q ❑ <br /> procedures were used during the c� �' `" ❑ ° °° a ¢ ❑ a ~ `s <br /> collection of these samples r✓ �' a c N a a ° ° n. <br /> ° o m "' 2 Vm a ib ❑ w m ❑ a <br /> Method R L �' o a a a o ° ' g $ ❑ LL <br /> Matrix Sampling o Q ❑ w a ❑ ❑ ❑ a <br /> Field GTEL Lu r Preserved o = W ° ❑ a s <br /> Sample Lab# a w <br /> p s a o: o x O °� i� m b <br /> ID Use J �' o w _ 8 w w m a a a a a <br /> [Lab y } a w a F. ' o a- a Q a a a n. a c) o m <br /> only 3 ¢ 1; a o i �? O o F m m w w w w w w w w w w O c� <br /> ,r> <br /> 'T z1 �' cf �6uW' .. T ° ' (( <br /> P <br /> i .r pp"rFt � }} <br /> 'n e �*,y. e��`+`"'; ; r� �'�i _ r .- ,�i. > a q��t$lei�, -'�- ?�.� � tij x,� ��r=� n a� � , i� »iK .,t�(1'r�s 1�+ „..tC�+� \ s � <br /> HL <br /> .� '� <br /> , <br /> 1 �s <br /> 7 � tiSS Y� <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS 1 Co <br /> Prnonty(24 hr) ❑ GTEL Contact usl,-- <br /> ped+ted(48 hr) ❑ Quote/Contract# <br /> 7 Business Days ❑ Confamabon# <br /> Other SPECIAL REPORTING REQUIREMENTSr Lab Use Only Lot# Storage Location C <br /> Bustpess Days ❑ P O # I - Z <br /> QA1QC Level + q CJ.7 0 7ff­� <br /> { <br /> Blue❑ CLP❑ Other❑ A A FAX❑ Work Order H <br /> • <br /> RJ hed am r PD to Time Recelved b <br /> CUSTODY r '' .2Q• ,30 t <br /> * --RECORD <br /> Reltn ups �t Time Recei ed ! <br /> �• f� 1 s I, <br /> Rel+n tshed by ate Time Received by Laboratory <br /> �- Lq i J) i5 Wabill# ' <br /> L <br />