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rrC r = r = r rr rr r■ <br /> L 4080 Pike Lane CHAIN-OF-CUSTODY RECORD CUSTODY RECORD <br /> JGTE Concord,CA 94520 800.544-3422(In CA) AND ANALYSIS REQUEST 72- 2936 <br /> I N V I G p N M f H f A 1 415-685-7852 800-423 7143(Outside CA) ANALYSIS REQUEST <br /> 1_ {AEO11AlOfl If$ INC <br /> Phone# <br /> Pr tett Mana�j� <br /> C1 ❑ w CItj� 15 1 <br /> ❑ <br /> Tw I l�- - - -- -FAX# <br /> o Ion v d 0 ❑ <br /> Address Site location 171 <br /> ` I W ❑ ❑ 2 O ❑0 ❑ = L' <br /> r l )y ��TS� t�N --- - -- m o ' o = o �" * O a fr <br /> l'e7cl Number Project Name + t <br /> zf} ��� 9 h' J IF <br /> y ❑ a m m m p n J <br /> N ❑ n Q ❑ c <br /> I attest that the proper field sampling Sampler Name(Print) h ❑ n o <br /> procedures were used during the collection o m o v a 0 a <br /> of these samples _ -- T` O __ v ' ❑ ❑ ❑ ❑ ❑ ❑ o <br /> rn Matrix Method amplln Cm w ❑ a m E o nol 000 - v o n p a e LL J <br /> Field Source GTEL w 9 Cc M D v 0 to M m m v m � a � � ❑ <br /> Sample of Lab# z Preserved ❑ 0 0 a c� a ❑ ❑ ❑ ❑ q ❑ m, � t ; <br /> ID Sample (Lab use a w o a ❑ - °_° a o v, �� m o v v a <br /> �n +- H u o 0 o n cv sl' - m m 4D <br /> only} z (7 4C to w w x m � O a m w 4o cu to W a o > <br /> O r * O W Z 2 F- w w = 0 70 m Q 'd ala0. a a 0 .j a (D a� 6 <br /> 0 3 W m o I i I V Oz 0 D 1- m m a �° leu w W w w w w ci <br /> cc cr <br /> -O3(0 - <br /> _ � <br /> SPECIAL HANDLING SPECIAL DETECTION LIMITS(Specify) REMARKS JE <br /> 24 HOURS ❑ <br /> EXPEDITED 48 Hours ❑ <br /> SEVEN DAY ❑ <br /> OTHER (#) BUSINESS DAYSOA/OC CLIP Level ❑ Blue Level ❑ SPECIAL_ REPORTING REOUIREMENTS Lab Use Only Storage LocationFAX ❑ (Specify) cLot# Work Order <br /> o� ¢ <br /> I <br />