Laserfiche WebLink
NaEL1 4080-Pike Lane C -OF-CUSTODY RECORD ECORD <br /> Concord, CA 94520 800-544-3422(in CA) AND ANALYSIS REQUEST G 16605 CUST <br /> 'AaOlI�O10IMS. INC 415-685-7852 800-423-7143(Outside CA) ANALYSIS REQUEST <br /> Projeci Manager Phone#: ❑ ❑ ❑ <br /> w ro ❑ °a vFAX oa MJ '" ❑ <br /> 40 <br /> Address: Site location: u <br /> ❑ <br /> C%I <br /> W 03 <br /> T N = a O rO ¢Project Name: Na "Project Number5�O17y 033y, m < U) _J <br /> ° <br /> a0 %0 Ar-,n/071 XCO n11 d D1tl <br /> in 1.1 ❑ c I <br /> allesl that Me proper field sampling Sa pier NamelPrint): 0 m ° gy m u m n g � f a <br /> procedures were used during the collection �jy,,� I�/z ❑ o d N W < M { III <br /> of these samples. �J Is <br /> lr, '� a N a '� " ❑ ❑ O ❑ f] ❑ a O :"- ° o <br /> EC lf�Ldi;"ir,._ ._.-... .. o o ❑ V W T o_ 0 0 0_ o o ❑ r ui u. <br /> Field Source GTEL m fO c7 m E N 0 a ry o v ❑ m <br /> Matrix Method Sampling , H ❑ <br /> N d X 0 0 0 r'I N N R r J <br /> Sample of Lab # W - _ Preserved _ _ ❑ ( (5 d CO CO CO m (0 <br /> - - N = Ch O dy ° C7 ❑ ❑ ❑ ❑ L3 �a N a n n <br /> ID Sample (teb use F w o ❑ _ N 00 o v In <br /> only) z U ¢ �, • W m �i p a o 0 o N N it a ^ w 0+ m ar <br /> ❑ w O w of m ca cn w co O a ° o > <br /> o �- O - J ►_- U Nl w Z = ►- u x b _J a 0 ID m <br /> U a ¢ U O I- a f- a ° o 0 a. a. a a a a a U a u� a o u <br /> # 3 ur a rn O z I T Z O d h m a N w w w w w w w f- w a U U ¢ <br /> — E "(1 E E <br /> PJ 6a — - --d�— - -- - --- F_t� P P ; <br /> � C <br /> %36 <br /> }J <br /> /9/Z a04p, <br /> - - - N <br /> 9179 <br /> �i56 - ��_. -- - - - - <br /> SPECIAL HANDLING SPECIAL DETECTION LIMITS(Specify) REMARKS: ,f-W / <br /> 24 HOURS n ° <br /> E <br /> EXPEDITED 48 Hours ❑ r`i) _ <br /> SEVEN DAY ❑ n n <br /> v n <br /> OTHER f#1 BUSINESS DAYS s s <br /> OA/OC CLP Level ❑ Blue Level ❑ SPECIAL REPORTING REQUIREMENTS Lab Use Only Storage Location � Q <br /> Cr <br /> rAx r 1 (Specify} c c <br /> Lot#: Work Order#: 0 4 (D <br /> ¢ ¢ <br />