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ff 4�6'7'I�IKE'L'A1VE � �•�• ,•� ••� 'Z'Ad1N-dR'�'�lS7'SE'FRSDCONCORD, CA 94520 AND ANALYSIS REQUEST 11742 <br /> # <br /> 415 685.7852 t�d , <br /> t ArE OflpAOIORIf3N[NC 800 423.7143 (OUTME CA) (800) 544.3422 (INSIDE CA) <br /> -ompany Name Phone N <br /> G-T--T— FAX# ❑ ❑ <br /> ompany Address Site location w x ❑ <br /> S fia c ❑ <br /> )rolect Manager Client Prolecl ID V) 0-L b 9 O 1 L(� ° � � � + � � ❑ 0 © ,O <br /> �+,, m CO N U) W <br /> S G r1 Se' NAME � H L Y, Q o rto � M F S ❑ © ❑ 0 z z ❑ � ❑ 0 4 <br /> aitest that the proper field sampling Sampler Nam (P Int) s g ❑ a? M c ❑ ❑ g E y ❑ ❑ <br /> procedures were used during the collection 4�1 l G 0 ❑ � � ❑ ❑ Co a a � rn � `ev^' o <br /> �f these samples r� l� ❑ o ❑ a o N a ! 9 0 a N ❑ CL <br /> Matrix Method Sampling o N o a a 2 ❑ o m a o 0 <br /> Field GTE z Preserved z C - o ❑ p w $ o © 0 ❑ a ❑ L <br /> Sample Lab # W � Nco � oX � � � � �' � <br /> ID (Lab use only) U J 0 CC p O w n w w ? -. ¢ p i� �$ �$ o w O m c o <br /> 4 0 D 0 F c� z u, d 4 a „ m a a a a a a a ►� - <br /> a o o a a a p 0. n A U a a m P' o <br /> 3 <n ¢ w a O x x x U a o�v r Co w x x O w w w w w w w w w M w U , o v <br /> v <br />� ►� Mw 2a 1 <br /> 7 2 <br /> �w 3 i <br /> PW - S 171 <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS <br /> Priority(24 hr) ❑ GTEL Contact <br /> Expedited(48 hT) ❑ Ouotelcontract R <br /> 7 Business Days ❑ Confirmation d <br /> Ocher pQ N SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot q Storage Location <br /> Business Das ❑ <br /> QA IQC VEL <br /> BLUE❑ CLP❑ OTHER FAX❑ Work Order N <br /> Relinjud by leD e Time Received by <br /> CUS 1 OD 1 Rellnqused by, Date Time Received by <br /> RECORD Retinquished by Date^ Time Received by Laborpify <br />