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�t <br /> f <br /> •O USTODY RECORD CUSTODY RECORD <br /> NGTEL 4080-ConcorlkeLane DANALYSIS REQUEST 7�' 2102 <br /> C15.685, 8 94520 800.544.3422(In(outside <br /> ANALYSISFIE0UEST <br /> 4N VIlONYINIAI <br /> 415.685.7852 800-423.7143(Oatsids CA1 <br /> WN lAf OO AfOl11f- INC 1 <br /> Phone : o ❑ ❑ ❑ ❑ <br /> Pr9jecl Manager. a V) �+ a ❑ <br /> Fnx 2 tn fl J r <br /> Site location J - # <br /> Address: w O m ❑ n = d = 4 m <br /> a c o d ❑ o[ m <br /> Project umber. Project Na e: o C m" d E ° r <br /> cwt r--fl � $ ❑ p_i ❑ c� � n r <br /> S' <br /> Sampler Name(Prinn: ❑ 0 � 0 u 8 a <br /> I attest that he proper field sampling g 8 c ❑C <br /> ❑ ❑ ❑ <br /> procedureswere used during the collection o a o < <br /> ❑ <br /> of these samples Matrix m <br /> Method sampilnN c o <br /> y; 5 <br /> Field Source m Cl cW Preserve ❑ 0 o ❑ o 41 <br /> Sample of Lab# z a z <br /> v <br /> ' <br /> ID sample M ¢ [W7¢ W w `� m � ❑ a m n m to � � p a a G � � <br /> Only O J Ia W W x x h w S o w n 6 a a5 <br /> 6 r a a <br /> A, ¢ S <br /> • Y 3 dll Q q S S U Z d a: <br /> W fL m f f h W W W W W W H W U U I <br /> E E <br /> h1P ❑ v <br /> SPECIAL HANDLING SPECIAL DETECTION LIMITS{Specify} REMARKS: <br /> 24 HOURS❑ <br /> EXPEDITED 48 Hours A � a A <br /> SEVEN DAY Q L t <br /> OTHER-W BUSINESS DAYS _ RZ <br /> c <br /> QQC CLP Level 11IR <br /> Blue Level 0 SPECIAL REPORTING REQUEMENTS Lab Use Only Storage Location <br /> AJ <br /> • FAX 13 ($pecify) Lot 0: Work Order*: ¢ c <br /> � w <br />