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GTEL 4080- Pike Lane C IN-QF-CUSTODY RECORD N ?2. 15438 <br /> Concord,CA 94520 800-544-3422(in CA) <br /> AND ANALYSIS REQUEST CUSTODY RECORD <br /> LABORATORIES �Nc 415-685 7852 800-423 7143(Outside CA) ANALYSIS REQUEST <br /> Pr lett Mana r r r Phone# ❑ ❑ ❑ ° <br /> /_ lJ✓ _ FAX# m ❑ \ <br /> A dress Jf - ydj (� jr location 5���6-Xi ❑ ❑ u © �o <br /> N r1� mo ❑ � 5, C LID LO CIS a <br /> Project Number Protect Name m " o ° + + O ❑ a �' <br /> L N m ¢ m � N ❑ 7 <br /> 4 a30Z1 dSdv o tAV,,J EC"D ZZ W @s ❑ 3 . <br /> I attest that the proper field sampling Sampler Name(Print) y 9ElD w ° o j <br /> procedures were used during the collection f� ❑ o d aD M U r *- <br /> of these samples 5 I��/T� _ ° � ° a a ❑ ❑ ❑ 11 El a p 13N p ❑ U of T 7 N V. <br /> Field Source GTEL Q Matrix Method Sampling 0 E o N 0 0 0 0 ❑ o < ❑ --- @ <br /> Sample of Lab# Z Preserved ❑ �' 0 0 00 m m W co m � � a 0 �, ❑ �, �, r <br /> ❑ o ❑ ❑ ❑ ❑ ❑ ❑ :° m a � <br /> ID Sample (Lab use a w N Q. <br /> — °� v `a <br /> r- a ) a — �, r 0 0 v 0 v d � 4 <br /> onlYJ z c7 a[ v w w w v p a o 0 0 CY N K h a� m <br /> 0 ❑ w O O w u! x _ m w m +n m p a a ° o > > a <br /> U a p U Z uN w p W ¢ w w x o m s a a a a a a a 0 a� a� <br /> # 3 cn a cn 0 x s 2 �? t- r a o o a a a a a a a v a u� ¢ o 0 v <br /> Z 0 O m m a E- w w w w w w ui H w 0 0 <br /> K- 1 <br /> W M <br /> utt 3h <br /> _ St ored i n l e, m v a) <br /> is ro ro <br /> _ ri ial e contai e s o 0 0 <br /> m Ie p es <br /> t^ — OAs NrittaY e <br /> co-M— e <br /> c <br /> SPECIAL HANDLING SPECIAL DETECTI (Specify) <br /> 24 HOURS <br /> EXPEDITED 48 Hours ❑ ` <br /> SEVEN DAY ❑ <br /> OTHER (#) BUSINESS DAYS /D s t 0 <br /> QA/QC CLP Level ❑ Blue Level ❑ SPECIAL REPORTING REQUIREMENTS Lab Use Onh1V Storage Location <br /> Cr b or FAX C3 (Specify) c c F Lot# Work Order# i <br />