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0TEL <br /> 4080-Pike Lane CHAIN-OFCUSTODY RECQ D <br /> 11AND ANALYSIS REauisr 72- 4790 cus""Y"Ec" o <br /> Corcerd,CA 9A520 t3lN}544-3422 iln CA} - <br /> Ma i�a.2oitaN Ha 41Cr885.7852 80o-4237143(Outs eCA) ANALYSIS REQUEST a..7., <br /> Project Manager. Phone*: &-71-?!;P7 ❑ ❑ ❑ <br /> iLc�. FAX UJ <br /> u' r) o ❑ <br /> As'.dres Site location:cl 1(0 1 �0 <br /> A <br /> CI2 13 0 71 <br /> seYO <br /> Project Number. Project Name o LL 'v + + n v m ' <br /> J -mi ❑ R ht V m N w c7 ❑ e_ <br /> 203 OJ a k FGt+- ry ❑ ` a z z o m tl1 ❑ <br /> I attest that the proper field sampling Sampler N me(Print): m t' o m o ❑ I c <br /> procedures were used during tha collection 1 L- _ 0 (� ❑ o w 6 a u r <br /> of these samples. C, o Q ❑ ❑ ❑ ❑ ❑ ❑ s o a it S <br /> Field Source GTEL � Matrix Method Samplingm m e o o �, N n ° ❑ o Ea w $ <br /> Sample of Lab�k w Preserved m m m 0 0 0 m m m n `; ❑ ❑ ; <br /> ID Sample {tabu.. c w � `x� ob P ❑ ❑ ❑ ❑ ❑ ems <br /> onyt i m c7¢ + w W m a m u p a o c m o 'n• N i2 z m <br /> o ur O Z til x m m w i� v w p a o t7 $ a a <br /> Z U O a a P o o a a a na. a s a- U n: uS s o m m <br /> a 3 m a m O z S _ Z O a m iri >- a r- r- w w w w w w w w U U <br /> wtS f E E E <br /> 2v <br /> I F <br /> vr.r. b <br /> ► z IZp , <br /> �r1I IM A I ° <br /> T9(14B 77 <br /> � Z7 -- <br /> fLb Q z 3 <br /> 1 123 I <br /> SPECIAL HANDLING SPECIAL DETECTION LIMITS(Specify) REMARKS: [� 71 <br /> 24 HOURS❑ J E\ <br /> EXPEDITED 48 Hours ❑ C.at V,r:t C a <br /> SEVEN DAY ❑ N 0 Z. 0 b $D n s <br /> OTHER (#)BUSINESS DAYS _ = r L <br /> OA/OC CLP Level 0 Blue Level❑ b Use ���it��� <br /> SPECIAL REPORTING REQUIREMENTS Lab Uae Only Storage Location <br /> FAX❑ (Specify) c c <br /> Lot 4: Work Order#: m o m <br /> Cc cc a: <br />