Laserfiche WebLink
� �� � � fi f� � i � ti � Il• �� � � � � <br /> GTE 4080-Pike Lane CHAIN-OF-CUSTODY RECORD '7 <br /> Concord,CA 94520 800-544-3422(In CA) AND ANALYSIS REOUFST 1 Z- 14355 CUSTODY RECORD <br /> I"V 1 0 N MEIN F A L 415 685-7852 800-423 7143(Outside CA) <br /> JNC <br /> ANALYSIS REQUEST <br /> Project Manager Phoneel 0 <br /> # <br /> lli� <br /> ! FAX# U.1 FAX M ❑ ❑ <br /> Address Site location °n �' a 2 ° <br /> CT <br /> 6/4— W ❑ - <br /> ? h O r <br /> Protect Number OX j0/Z Project Name ,/ o M a o H + + 9 q D p <br /> -d 37 L� o �,� co ❑ � z m � k 3 <br /> I attest that the proper Held sampling Sampler Name(Print) ( °� o ° , <br /> procedures were used during the collection ` ❑ o y 0 r0 i9 �, ❑ c <br /> of these samples ® N m r, <br /> CL <br /> if EF <br /> Field Source GTEL cc Matrix Method Sampling m D ° ° N a 0 <br /> Sample of Lab# z reserved ❑ �' o m m so m m ro ° a° ° ❑ <br /> ID Sample (Lab use F w N z t] ° ° ❑ ❑ a ❑ ❑ m CM co 2 m � ° -" <br /> A o a a <br /> only} 0 a J o w O 0 w Z w W 1O O a m° cN0NO a m v v <br /> o _ � i=- � z " Upl- aaoM � aaaaaa � ix <br /> � a � <br /> # � cn a rn o r x 4) m <br /> 4 '7 -7 – z 0 o r= a r° W w w w w w w h w U U m 4) o <br /> 11 <br /> E E E <br /> a —I► � � i' i' w <br /> O - - — <br /> SPECIAL HANDLING SPECIAL DETECTION LIMITS(Specify) REMARKS <br /> 24 HOURS ❑ `m <br /> EXPEDITED 48 Hours ❑ w E <br /> SEVEN DAY ❑ )-0690 rn <br /> OTHER_ _ (#) BUSINESS DAYS IJ1 1 <br /> OA/OC CLP Level ❑ Blue Leve! ❑ SPECIAL REPORTING -– – — - Y –_---- - -- -- a14cc <br /> z r <br /> REQUIREMENTS Lal Use Only Storage Location FAx O (specify) Q Qf Lot# Work Order r �!p n �/ it <br /> N� � <br />