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40B0-Pike Lane Ch- 4-OF-CUSTODYRECORD ry CUSTODIt AFECORD <br /> 10"TEL Concord CA 9452( 600-544-3422(In CA) AND ANALYSIS REGUiST 7G� �7 5 7 <br /> INV,a ll4f/I t".iMc 416-695-7852 800-423-7143(Outside CA) ANALYSIS REQUEST <br /> Project manING11L Phone 2:6 7!�?i j8 ❑ t] w n ❑ I <br /> FAX C. 13 <br /> tU 1 <br /> `--- <br /> Address: Site location; C7 QC1 E3 t7 O ❑ ❑ m I* t; _ <br /> /�9 lr l I�1aL�p�J t2 a 0@ P LIn ry zo K Y 0 <br /> Project Numben J. a Project Name: L o a � } + ❑ n r, I <br /> v� u� ❑ E c ❑ <br /> 13 Gy t3 <br /> I attest that the prgptlrtie!'dsrmpllnq Sampler Name(I'rht}: R n •' .s�:' yam" S <br /> a procedures wars used during the collection u t? <br /> of these samples. SLo Tr (r 5�� u m = ❑ ❑ ❑ fl ❑ ❑ X p u t +!I <br /> Field Soured GTEL Matrix Method Samplin $g �' U $ n .9 ❑ a <br /> Preserved n13 � ❑ � @q oX ° � ° a <br /> Sample `.,,o�d.�r. Lab# z a r O Ci 13, .e 3 ❑ ❑ ❑ ❑ ❑ ° 2 o b $ r n 9 <br /> �© �1•I <br /> (Lab <br /> rL GC C7 tY <br /> Lu Luse ¢1] �' O R m S C <br /> Iu 2y m m m <br /> O N 111 2 _ 4 K 14 K < u Q $ m m <br /> U 4 0 a J H U z (� Q <br /> Q a 3m<mO T z x z0 O ra d r'- � m w u w w w w r w 7 c� u <br /> j <br /> cc <br /> E <br /> 47 <br /> i= t <br /> f <br /> Q <br /> �.._ <br /> I <br /> .81PECIAL HANDLING SPECIAL DETECTION LIMITS J1 pscllyl REMARKS: <br /> 24 HOURS 0 � <br /> EXPEDITED 49 Hours 0 <br /> SEVEN Py R; i•, V <br /> OTH Ill DAYS <br /> _ m <br /> Leve(❑ SPECIAL REPORTING REQUIREMENTS Lab Use Only Storage Location <br /> t.. <br /> e <br /> AX[3 � !�S (Specily) •� Lo!*: Work t3rdar*: <br /> t `3 a Q <br /> v <br />