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TE L CONCORDCA 94520 AND ANALYSIS REQUESTF"WWC <br /> ENYIRONIYIENTAI 15 $65-7852 <br /> >• LADORATORIEE INC 800) 423-7143 (OUTSIDE CA) (800) 544-3422 (INSIDE CA) -31fKau Rw�- <br /> Compan Name Phone N, <br /> (311 ❑ <br /> FAX N' p ❑ <br /> Company Address Site I ation Lu 001,(1 0 0 ❑ <br /> �Q/ ❑ 0 13 Cr p" t <br /> or <br /> Pro e t Mane agar Client Project ID N ❑ <br /> Prof g I c � 3�1 71 o5I(b W ± ± p Q ❑ <br /> n1�S (NAME)5fi L ��� G�. ✓1 - 0 ❑ 0 0 ❑ z © 0 0 o <br /> S o © rn N 2 E C] ❑ C <br /> 1 attest that the proper field sampling Sampler Name(Print) � e ❑ ❑ �, E <br /> procedures were used during the collection * ❑ ❑ ❑ ❑ a a ' o <br /> � .i of these sam les n� ❑ c p a o ❑ a p ° <br /> Q r <br /> I, Matrix Method Sampling o a ❑ o ❑ ° 0 0 1 ti <br /> m Preserved a g q 8 I ❑ q ❑ a �' `�� ❑ <br /> f Field GTEL � o ❑ 0 ❑ <br /> Sample Lab # ,� �, �Cd ❑ ❑ ❑ p <br /> ! x x 8 o <br /> ID (Lab use on a a M Q w _ m Q Q ` a a a a g a �, <br /> t <br /> L <br /> r <br /> 1 G <br /> s <br /> v r�oly <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKP <br /> nY{Z4►w} GT <br /> Prior ❑ ��\ <br /> EL Contact <br /> ExPE+d+I+Q(48 M) ❑ OuotelContract N <br /> T 111T++e OM ❑ Confirmation N <br /> ofm PO N SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot N Storage Locatior <br /> u <br /> QAICC LEVEL - <br /> PUM❑ CLP❑ OTHER FAX❑ Work Order 0 <br /> Relinquimobb Sampler Date Time Received by: <br /> I 64L.,, <br /> CUSTODY Relinquls y at Time Received by. <br /> RECORD Relinquished by' Date Time Received by Laboratory' <br />