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NGTEL4080-Pike Lane CHAS._ OFCUSTODY RECORD <br /> Concord.CA 94520 80o-544-3422(in CA) AND ANALYSIS BEQUEST 72- 4012 cusToDY"'ORD <br /> am i►aor°oi r`sH JWC 415-685-7852 800-423-7143(Outside CA) ANALYSIS REQUEST <br /> l <br /> Project Manager. Phone s: ❑ ❑ <br /> „1 ❑ w ❑ ❑ <br /> �a FAX 0: R o 0 g U <br /> Address- s Site location: f u b L, <br /> w ❑ ❑ ❑ ❑ O 1? 13 <br /> Protect w❑m6er. Project Name: s o o �' a 4 + N Q o °o s <br /> attest that the proper field sampting Sampler Name(Print): � O ❑ S <br /> procedures were used during the collection ❑ @ I y n p a <br /> of these samples. __ _ 11It o ❑ U „ x o 0 0 0 ❑ o O 0 <br /> Field Source GfEL ¢ FAatHz �fstltod Sam lits $ E N m g 20 , <br /> o w ❑ I <br /> P <br /> Sample of Lab# z Preserved ❑ m to w 0 00 W _" n ,. ❑ `r i <br /> ID Sample (Lab use w a x 0 .a ° ❑ ❑ ❑ ❑ 13 130 IL m 3 R Z { <br /> p n: a ¢ W W '° u a o a <br /> onlyl z 0 n N it a I <br /> S a y 117 4U x `m a w �o m m n <br /> O W <br /> U a a a 7 u Z U 0 1_ ¢ rw- F a ° o n a a a a a a a c <br /> r 3 V,a w 0 x z 2 — Z O O r m m H d H H w w w u: w w w H w r U U <br /> iL <br /> o 13 <br /> SPECIAL HANDLING SPECIAL DETECTION LIMITS(Specito REMARKS: ! �l 3 o f <br /> 24 HOURS❑ E <br /> EXPEDITED 48 Hours D <br /> SEVEN DAY 0 ' n <br /> v <br /> • OTHER (#)BUSINESS DAYS = s <br /> 9 2 <br /> GA/OC CLP Levet❑ Blue Level❑ SPECIAL REPORTING REQUIREMENTS Lab Use Only Storage Location 'S r n � <br /> FAX❑ (Specify) E c <br /> Lot S: Work Order*: ` —zt. z <br />