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' <br /> 4080-Pike Lane CHAS.. OFFCVSTODY RECORD <br /> PGTEL <br /> Concord,CA 94520 800.544-3422(In CW AND ANALYSIS REOUEST 72- 4013 CUSTODY RECORD <br /> i N-l y O N M E N I A L 415.885-7852 800.423-7143(Outside CA) <br /> A6OOAlOe11f. INC. ANALYSIS REQUEST[ <br /> Project M(�anag�er. Phone at: ❑ ❑ <br /> —Tor--' '!1ft�t FAX lk: o o $ ❑ O <br /> O n <br /> Address Site location: �' ° <br /> 110 T��r �_� © ° ❑ ° n n 13 a') 0 r � <br /> Project Number. project Name: " of v o + + 4 U <br /> � Y <br /> �� �- '� H ti ❑ a K K In Irl N a p a 3p <br /> �'�.a [� 10 tea z z -8 to <br /> I attest that the proper field sempling Sampler Name(Print): o ° <br /> fl +a ❑Ciprocedures were used during the collection °opt these samples. M0Jr <br /> ❑ ❑ ❑ ❑ ❑ o m ❑ o5 R Uy_ <br /> I ti i <br /> r vField Source GTEL a Matrix Method amplln M eo $ n o 4 ❑ <br /> wSample of Lab Preserved 6mmm m m m 0- <br /> ty_t1 <br /> �Z!' <br /> �7 <br /> �ID Sample (lab vs. h a 56 <br /> w x °o °o aa °K aa O <br /> a QnNono yH7 ¢w O 2 O o QO> a_J _<a >Zmo <br /> LU <br /> cr <br /> Z <br /> In Q UO <br /> In S w w C 4 F° ° w w w u 9Q <br /> Tyy1GM2_ <br /> 6in <br /> : - <br /> -I-L Q� <br /> X156 7�G <br /> ITF <br /> SPECIAL HANDLING SPECIAL DETECTION LIMITS(Specify) REMARKS: <br /> 24 HOURS❑ n <br /> EXPEDITED 48 Hours ❑ E� <br /> SEVEN DAY El 5^ <br /> A <br /> OTHER (#)BUSINESS DAYS u <br /> QA/OC CLP Level C Blue Levet❑ SPECIAL REPORTING REQUIREMENTS Lab Use Only Storage Location ¢ Cr <br /> FAX❑ (Specify) c c c <br /> Lot x: Work Order it: <br /> COC a I <br /> � t <br /> i <br />