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4080•Pike Lane CH._ _d•OFCUSTODY RECORD ' <br /> G T E L Concord,CA 94520 800-544.3422(in CA) AND ANALYSIS REOUEST 72- 4030 CUSMOV"":CORD <br /> F"v 1 Y o N FA r H r A 1 415-885-7852 800-423.7143(Outside CA) <br /> Itttt� IA�O�AI6�IF3 r« ANALYSIS REQUEST <br /> Project Manager- Phone#: ❑ ❑ ❑ <br /> —JE e--L" l% FAX#: w 4 ❑ i7 <br /> Address: Site locat13 <br /> i n' f tn w ❑ t <br /> do G T Z 9 f10 "�6,ortrian IZ4. ❑ ❑ ❑ J G <br /> C p ❑ <br /> fid 1 TD f rc�U_ -_t F� O � -, a O 2 < X p 5 <br /> Protect Number. Project Name: o ri v o „ + + py d a <br /> Q =_ to > ❑ a N a m m ❑ E o Ca : <br /> I attest that the proper field sampling SampEer Name{prinlJ: ❑ t to a ° ❑ <br /> Procedures were used during the collection ❑ o m S ❑ S b <br /> of these samples, m m u � • m <br /> �3a 6 a s~R trf.FCU N CY r ❑ ❑ ❑ a ° m a i <br /> Field Source <br /> TEL ¢ NAatHx Method Samplln m ° ❑ �' a .E v N' 0 G 0 A O ' "' LL <br /> Sample of Lab# z Preserved m A m a ro m io ; ❑ a° 7 ❑ t. Q <br /> Ib Sample {Lab u•• a �, r c n ❑ ❑ ❑ o ❑ ❑ a A t ° e Z L} <br /> only) Z 0 ¢ v QC o a ❑ o w o � Uf � � �' <br /> 0 UJ �j n v O O LT N N t ti r y r <br /> CI Q =1¢ S '" vl 111 Z Z X a m to tP m W 0 p a 4 M a t p -.4 C <br /> 2_ 0 v Z p h a � w z r' � < C ( Q C 1- J t g V v w <br /> +« 3 y a m 2'z z x t? 4 S c a n n. a a a a u a 70 <br /> iE - Z 0 n >= m ►�. Q r- 1- w w w y w u! w w w v v r m o <br /> • �r _ )�4 M a. Q <br /> rvt W Z _ of � gg <br /> C�F <br /> 21 [1 <br /> _Eft 2 Cr <br /> 1911— <br /> o o >ta <br /> Tim 6- <br /> LL33D <br /> t SPECIAL MA,NOLING SPECIAL DETECTION LIMITS(Specify) REMARKS- P�3 4th r <br /> 24 HOURS 0 <br /> EXPEDITED 48 Hours 0 E <br /> SEVEN DAY 0 <br /> OTHER (#k)13USINESS DAYS v� <br /> UA/QC CLP Level d Blue Level❑ —K L <br /> SPECfAL REPORTING REQUIREMENTS Lai Lica Only Storage Locsilon m <br /> FAX❑ (Specify) c c c ~ <br /> Lot#: Work Orders: m m a <br /> M ¢ ¢ <br />