Laserfiche WebLink
�r <br /> CHAIN-OF-CUSTODY RECORD < <, CUSTODY RECORD <br /> K f 4080•Ptko 1-11M, AND ANALYSIS REQUEST 72" 4 9 j"5 <br /> Concord,CA 94520 1100.544.3-122 0r'CA) <br /> nt5bElS x1152 lsoa-42'S•st43JOL&A(uCA) ANALYSIS REQUEST <br /> ( 1-40R-Ioms illC r I <br /> Proiect Manager -Phone rr:�/{�?%Z•y?0L1 I / <br /> _ ! i,.�cr+✓t+ , �.(j � n <br /> o FAX <br /> -at on: [ rNcl I J Ir�In�n IAddr�S site torm iI Dm <br /> i <br /> r m <br /> Proiect Nurn er• Prnlr c1 Name: i Ln;v+irj Cr¢ <br /> 1 / <br /> mit"'-��1.1,v. m.tJ VI m!m �fl E� w�nl�i[} I ii <br /> _Zo2._ 7_5.�..���/�,UL- - rclz [9�ltfrt 3 .mifl ul �l alb a %�izluN 1 ❑Ik� <br /> Iv p! mi f E11��° I 0 <br /> I attest that the proper lield sanrPlinq Sampler Nano;{Print): tl o I a • o a N <br /> procedures were used durinU the collection n 1 �o;o a v 1 ' I I D [i , !'.I I o -A <br /> (, 17 1 o O N ' <br /> 11 01h I> > j�j <br /> of!hese samples. -- _.... . N v o I o M I <br /> 1� <br /> Field Source GTEL T Matrix Method Sampling 14!'� e v I a a I I❑ „i I ; -� <br /> n '1 m m to m m to m .. m �, ❑ S. S; <br /> sample to - Preserved_ _ �_ ral�k�,;o c� afoia+rsja plm lolbl� l� n <br /> of Labs z -- - I & o,ti <br /> o a;[l;�'- ml� a la •r Ing w1.-1 ' m a, to m -J <br /> IR <br /> Sample tLub use M ¢ L7 ¢ ¢ a o o N. I ii a i <br /> only) z w w `° `° c0 <br /> lit W I i M 'W m O 0.' O u f <br /> O F O m O O z T r i"i; W lxin• '�i meq ¢�415�¢iQlr �lal¢W QI of V'. u <br /> v x ¢ v -� N w � F 4 Ir.a o o:oialalaa.0. Z;a u S a m m �v- <br /> u $ �K N O S Z U z 0 0 >= m m!r;a`Ir;l_ w w,w w w,w,,w r;wj� U;ul. #] t ¢ l•, <br /> n ' <br /> I <br /> E 13 <br /> ' dify) REMARKS: <br /> SPECIALFANDLING SPECIAL DETECTION LIMITSISpem <br /> ( EC <br /> 24 HOURS❑ <br /> tvti. <br /> EXPEDITED48 H urs El <br /> SEVEN DA <br /> OTHER _(#y BUSINESS DAYS <br /> "3 C t <br /> QA/QC CLP Level(3 Blue Level El SPECIAL REPORTING REGUIRCh1ENTS Lab Use Only Storage Local!on S I S <br /> FAX j (Specify) Lot it: Work Order it: Z m r L d)f �• ¢I I. <br />