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4080 PIKE LANE,SUITE C CHAIN-OF-CUSTODY RECORD 33530 <br /> GTEL CONCORD,CA 94520 AND ANALYSIS REQUEST - <br /> (510)685-7852 <br /> (800)423-7143 Irmo=FA <br /> 77 I ' <br /> party Name �r r Phone# SCa) t 1 C"' 2317 <br /> r r�zWn FAX# GfS' �I��� n <br /> n i <br /> L) L) °' <br /> parry Address ��-� �Dr f CACC-p j „lSlte Locatt n a�� n'jo(�f /f�•f a r K <br /> I ! It d V <br /> Mem bc cord, CP VS20X N f1 I 1 <br /> ct Manager Client Project ID (0)p�psbo. 5'10 ! I !N y c- 4, a r ' <br /> Ckrtl J/'eS V�1 + r. 6rj P m is C I I �) ! I I I Z 2 I-' r' <br /> st that the proper field sampling Sampler Name(Print) a 171 I I �, e <br /> p p P 9 w -1 -J o m U nr <br /> dures were used during the �/J /} �+ N I t 1 I m F r y ` a n ' A y <br /> Iron of these samples // r. / ISI o '!� Iwl g a �" c a o a <br /> �` N M Q m w I I m m II Oy a (" <br /> Sam lin <br /> �, Matrix Method p g d m l l ti a a 1 1 l i N i t a y( �" <br /> laid GTEL Preserved �) p f I t l w w a a m m N t <br /> Z r q $ m I I I I 11 a s m m <br /> Inpie Lab# w tr Q '° `° 9 o ~ o <br /> ID rLab Use o IE <br /> Tm <br /> °o w 8 o w �' "' 'u5 $ A m a a a a a a a � a 2 v N NLLJ <br /> 1 Or11y !! V d ,�, o[ V z v a ► a o a a a a a a a a V a a N ° o - <br /> ,� a r/j Q, Q = _ O. O f= m m T4 0 F w w w w w w w w w i- w V O V <br /> 7 - <br /> K1 - <br /> k, ll:Tfl - <br /> © ' - - — - <br /> � - - - <br /> I X1 <br /> LPE \k Ax <br /> AT Special Handling SPECIAL DETECTION LIMITS REMARKS <br /> 4 hr) ❑ GTEL Contact CO <br /> d(48 hr) ❑ Quote/Contract# C.X' Cl 10 CO <br /> ss Da Confirmation <br /> SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot it Storage Location Z'� <br /> Days ❑ P O !e <br /> 0A/QC Level C�, os-O Z r=-2 <br /> Cu'❑ Other❑ FAX❑ Wark Order p I �,� <br /> Rehriquished by Sampler Dato Time. Received by <br /> STODY S 5 8 1-7 7 <br /> Relinquished by i Date Time Received by <br /> CORD <br /> Rolinquished by Dalo Tema Racslvod by Laboratory °3-q-q <br /> 5�i'1 �f') l'� / Wa bile rf � '1!��i7� <3• ' ')^ 'i't <br />