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GTEL4060-Pike Lane CHAIN-OF-CUSTODY RECORD <br /> Concord,CA94520 1300.544-3422(In CA) AND ANALYSIS REQUEST 72- 1278 CUSTODY RECORD <br /> INVIRONMINTAI 415.685.7852 800.423-7143{Outside CA) ANALYSIS REQUEST <br /> ttttlS� IA\pfA[Cfll3.INC. <br /> Project Manager Phone#: ❑ p I <br /> FAX#; m en n <br /> Address: Site location: ❑ 'n ❑ ❑ <br /> - hw 11 13❑ tvh <br /> M a = o= rm nProtect Number Project Name: Qo i' a + + ❑ i <br /> y <br /> m ❑ o o � z i m m $ ❑ <br /> attest that the proper field sam ling Sampler Name(Print); 'n m a 1? �� ° n <br /> ❑ ❑ <br /> Procedures were used during the collection //��,,, ���� p o � � � $ "A ❑ � � � o <br /> of these 58mple5, �� a ❑ ❑ O ❑ ❑ ❑ a O m I m <br /> Field Source GTIcL a Matriz tlAethod SamplEa m ? E n m o Q o ff n w Q h <br /> Sample of Lab# z Preserved a d m m m m C"1 a l A <br /> ID Sample (Lee use a _ m Q ❑ ❑ ❑ ❑ ❑ ❑ °i o CO V Lo m a n <br /> w <br /> only) z c7 4 nff2wzo <br /> [zo <br /> v i^ a o L N N k 12 .N m m m�_a O ti .� G w 0 u7 x m m Io w Io [o v Ii a a <br /> U aQat � rz- v Z ¢ F Iwln p o 'aa- a aii a� � c � o 0 2 2 [] Hm m !- a H F- w w w w w w w W .w.! U U �y <br /> AL <br /> ? cc <br /> Nr _ I ! <br /> kJ` <br /> !R-7,4 p <br /> I M cc %J <br /> 1 L <br /> ±HEI I i I I I I I L <br /> I I ` <br /> I <br /> I � <br /> SPECIAL HANDLING SPECIAL DETECTION LIMITS(Specify) REMARKS: PCv�dQ .rlcC�i(LtfL <br /> 24 HOURS❑ v <br /> L� <br /> EXPEDITED 48 Hours [10 <br /> 71/ E„ <br /> �jQ,/At? rn <br /> SEVEN DAY ❑ f�V <br /> OTHER (#)BUSINESS DAYS !V C �� L L t <br /> OA/OC CLP Level❑ Blue Level❑ SPECIAL REPORTING REQUIREMENTS Lab Use Only Storage Locatien a <br /> FAXEl (Specify) <br /> [ Lot u: Work Ordar#: <br /> Cc M <br /> •► <br /> P1 <br /> r <br /> I <br />