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■� rtra■F,wF1tvL� aiiiiiiiieter AWANATMIS; `f E S� - MEm'= �1t�.71► I� <br /> CONCORD CA 94520 <br /> 510 685.7852 ," - n ,•. r x w ,<< „i"" iAt��� ' � .-*r �-ro r a. <br /> FNVIROHMFNIAI � I a <br /> 1AFORATORIFF INC 800) 423-7143 <br /> 3m any�m Phone# ,� Q <br /> FAX# ❑ �' , D <br /> tmpany Address. Site loc lon ❑ MA 11 ❑ 0 0 ❑ ❑ ❑ <br /> Ar . <br /> Co L ih <br /> o ect Manner Client Project ( } a � 1 � � .+. i 0 <br /> 1d z z ❑ 4 <br /> NAME � a ❑ a ❑ " ❑ ❑ Q E <br /> itlest that the proper field samp ng Sampler Name(Print) 1 a 2 o ❑ A ❑ <br /> ocedures were used during the collection �d ❑ c ❑ n 0 © at .0 ❑ a d � <br /> these samples { a R �'Co 8 © ❑ p ❑ r` <br /> k U <br /> Matrix Method Sampling t? ❑ 0 ❑ ❑ - ❑ 0 ❑ ❑ <br /> Field GTEL Preserved D �. al I <br /> Sample Lab # o � � � � � nCc <br /> � as� � o � � <br /> ID (Lab use on a -J a °z w a s lIL- & , r <br /> 3 c7i a cn a O x s a oy o F m m x Y 0 <br /> X <br /> V1 y XJX <br /> I OL <br /> [Z K <br /> 2 k X <br /> .t <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS <br /> Priority 124 hr) ❑ GTEL Contact <br /> Expedited(49 hr) 11duotefConlract 0 7:k"' y <br /> 7 Business Days ❑ Conllrmallon M <br /> SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot tY Storage Location <br /> Other POO <br /> Business Das ❑ <br /> QA/QC LEVEL <br /> BLUE❑ CLP❑ OTHEF FAX❑ ork Order N <br /> Reln uish by Sampler IDaI4 Time calved by <br /> Date Time ved by <br /> CUSTODY Relinquished by ei , <br /> Date Time Received by Laboratory' <br /> RECORD Relinquished byRev 7191 <br /> �:rov tiyvblll 0 <br />