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1 <br /> CHAIN-OF-CUSTODY RECORD <br /> GTEL4060•Pike Lane AND ANALYSIS REQUEST 72- 1270 CUSTODY RECORD <br /> Concord,CA 94520 800.544-3422(1n CA) <br /> F M V l f o N N r h 1 A l 415.565.7852 800•423.7143(Outside CA) A NALYSI S REOUEST <br /> t A301AT0011S.IHC <br /> Phone - <br /> '(o d-z3$ ❑ <br /> Project Manager ❑ w ❑ ❑ ! I i <br /> 4 m <br /> A6C. <br /> FAX m o n o ❑ m 2� t <br /> m <br /> Address Site location: ❑ ❑ ❑ ❑ ❑ p ❑ $ Ls <br /> u I <br /> G f r ,x� 13 <br /> � --MCC-To ) m o N = p ° A <br /> Project Name: 'o { + <br /> Project Number <br /> t N T ❑ v ¢ m @ ❑ E ❑ e -v+ 1 <br /> 3 m C3 o o 2 Z a �? a p o <br /> k attest that the proper field sampling Sampler Name(Print): N m „ ❑ �� <br /> procedures were used during the collection $ °` <br /> -5eo�_ ❑ N C ¢ c Fr J n <br /> of these samples. pL S�Q� N N 0 0 _ ❑ ❑ ❑ ❑ ❑ ❑ � ° <br /> 4GTEL. <br /> Matrix Method Sampiltt m '8 © �' v E o N m c g o o ❑ <br /> Field Source m W a m $ m m n m m a ❑ J <br /> Sample of Preserved a 0 r? o ❑ ❑ 0 ❑ ❑ p " R 4 r M n a <br /> ID Sample w o a ❑ - �° m - - o v to 2 m <br /> N w w W us7 Qa m m w to ,o O aH J 2 r71 W Z 2 w w = i ¢ 4 4flZ 2Q d[A 4 o O T 2 2 Z O 4 F ® m P- d F- W W w ul til W w N w J U U ¢ ¢ <br /> F9 <br /> I i <br /> �t! i 5_td n <br /> I P <br /> m _ m <br /> =lSI ! �g a a o <br /> -- <br /> + 5 , <br /> Xi <br /> l�+nuu_v5� l � xi <br /> S36 <br /> LLLSPECIAL HANDLING SPECIAL DETECTION LIMITS(Specify) MAR S: <br /> 24 HOURS❑ <br /> EXPEDITED 48 Hours 0 <br /> SEVEN DAY ❑ <br /> OTHER (#)BUSINESS DAYS <br /> aaac CLP Level❑ Blue Level❑ SPECIAL REPORTING REQUIREMENTS Lab Use Only Storage Location 5 r Q a <br /> FAX❑ (Specify) Lot#: Work Order <br /> F <br />