Laserfiche WebLink
GT 4080-Pike Lane CHAIN-OF-CUSTODY RECORD <br /> Concord,CA 94520 800-544-3422(in CA) AND ANALYSIS REOUESI" 72- 2101 CUSTODYRECORD <br /> r M Y 1 t o p y 1 N 1 A t 415.685.7652 800-423-7143(Outside CAI <br /> AIOt Arot111 me ANALYSIS REQUEST <br /> 1 <br /> -- P ojeet Mana er. Phone : O ❑ p ❑ <br /> ry�v ❑ <br /> 177i =e _ FAX 4: e<i o I S 13}� Address: SI a oc_atlon: h n v ❑ <br /> TfLel r— - LL 1111��� mW, 5 ❑ " , ❑y q ❑ C I q .__ <br /> Projeci!cumber. Project Ne e: � � " rNi Cd `o I° + + � r ¢ n <br /> p u P y (] ] <br /> I attest that th proper field samp[lg Sample Name(Print): In o 1 S c13 <br /> ❑ c } <br /> Procedures were used during the collection 93/ tS o 13g 8 a <br /> of!hese samples H �d f5 a o t) u r ❑ ❑ ❑ E3 E3 <br /> JJ Field Source GTEL ¢ Matrix IVlethod Sampling y ❑ �' , a E ° ❑ o <br /> O I Semple of Lab tt z Preserved ❑ 3 S $ w m m m o ❑ y 1 S <br /> It ID Sample (Lob u•• W fo <br /> N ❑ .e 3 ❑_ ❑ ❑ C C ❑ a R a h n <br /> only) O w J o u b' ZLu <br /> [t1 _ %o ea aO Qnn n 4Q [ { � W* u1 a y O = S S U1" 6 0 p a 4 0. 0. 0. S V 0. uu] a O u V U <br /> – Z O F m 1- a H r W W w w w w w r w <br /> O , f <br /> lr i E E m �( <br /> E E E <br /> ILL <br /> T,Q is— f <br /> l <br /> SPECIAL HANDLING SPECIAL DETECTION LIMITS(Specify) REMARKS: <br /> 24 HOURS❑ '��7 <br /> EXPEDITED 48 Hours ❑ � � Z1 <br /> SEVEN DAY 0 771 A l- s s <br /> � r <br /> OTHER (0)BUSfNESS DAYS <br /> OA/OC CLP Level U Blue Level❑ SPECIAL REPORTING REQUIREMENTS Lab We Onty Storage Location 5 <br /> FAX 0 (Specify) c c <br /> Lot,><: Work Order x: ° S <br />• <br />