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11. 11 216 <br /> i <br /> CHAIN-OFCUSTODY RECORD CUSTODY RECO D <br /> ��- ------ ` 4080•Pike Lane IMn AN-ALY�^!S REQUEST 7�- 12 71 <br /> C 800.544.3422(In CA) <br /> oncord,CA 84520 <br /> ,ro«41«111 415•685.7852 E00.423-7143(outside CA) ANALYSIS REQUEST <br /> 1�A16P11 r. INC <br /> snager. Phone Jr:6�{7.3 b-I ❑ U W ❑ q ❑ <br /> LU <br /> FAX#: 0 v ❑ J y_ \ <br /> J <br /> Site location: 1313afion: ❑ ❑ ❑ ❑ <br /> V. .n ❑ m [} , <br /> W h m ❑ n .n = < p m n <br /> /� •J cm 2 9l l 0 1 DPG-(a�.� li a c n + + <br /> jcl Number. Project Neme: N ❑ v � 00 m d m n � 13o z z N ❑ <br /> 2 0Z <br /> test that the proper field sampling Sampler Name(Pring: ❑ o m J n ro <br /> jcedures were used during the collectionm <br /> 5 m <br /> y� a O v ai ❑ ❑ ❑ 4 ❑ L] y n In LL <br /> thew Samples. .s-=-L�� ry o ❑ v z o 0 0 0 0 0 ❑ nEl <br /> Field source GTEL Matrix Method sarnplln m v m m m m m m ❑ d ❑ ! s s a. <br /> Preserved ❑ e� e, o o ❑ ❑ ❑ ❑ ❑ ❑ m = <br /> $etnpla of Lab# <br /> Ill Sample IL,aObuse r a <br /> w o w a m o m m x o <br /> flly} O h J 2 Q fA W Z x F-• W S p '� Q 4 Q 4 4 4 J a Q p a G <br /> W 111 W W w W W Y 111 J V U rT <br /> 1 j <br /> 1557i- <br /> _vyL� <br /> M p <br /> t <br /> SPECIAL HANDLING SPECIAL DETECTION LIMITS(Specify) REMARKS: _ <br /> 24 HOURS❑ �01,3 <br /> EXPEDITED 48 Hours ❑ n <br /> a � a <br /> SEVEN DAY 0 <br /> L L s <br /> OTHER (#)BUSINESS DAYS _ ---- ------ — - ----- -- - H <br /> 0,a/OC CLP Level❑ Blue Leve!13 SPECIAL REPORTING REQUIREMENTS Lab Use Only Storage Locatioon c I <br /> FAX 0 (Specify) Lot#: Work Order <br /> d <br />