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CONCORD, CA 94520 ANDANALrSIS HCUUt;sr <br /> w <br /> Ua Y 1 e M 510 -7852 ! ri 1%9 <br /> 11M reeoe�►1oeree INC 1800)) 685 <br /> 423-7143 <br /> Company Name. Phone N 67/-2-307 03 <br /> r FAX N 113 1 x ° ° <br /> Company Address' Site location 9110 bw�aQ_, W ❑ ❑ ° ❑ ° 2 o ❑ <br /> S13 <br /> ❑ <br /> Project Manager. Client Project ID (N)OZN <br /> wa&rwNAME <br /> ° ° ° ° z z O > ° ° <br /> 13 <br /> I e est that the proper field sampll ampter Name( nt) ° 8 - ❑ A ❑ ` ° ° A ❑ <br /> ' � r O <br /> procedures were used during the collection ° 2 o N ° �' 0 ❑ 0 1 ❑ <br /> of these samples Method m a ° <br /> E Matrix Sampling & p o a ° v D o ° p 0 <br /> Field GTEL m Preserved ❑ ❑ g F3 © ❑ <br /> ` i] L °r° E3 0 I] <br /> Sample Lab # Ir <br /> ID (Lab use only) � � � oW _ do -W W � � � � a � <br /> Ir x � v z � <br /> 3r� � r� aox s � S� �o <br /> w � <br /> w Z 1 6W <br /> rr- <br /> Am <br /> R11 t <br /> e f, <br /> 1+11 I <br /> wq <br /> a � <br /> TF 1 !12L <br /> TAT S ectal Handling SPECIAL DETECTION LIMITS REMARKS <br /> l_ 0 <br /> Priority(24 hr) ❑ GTEL Contacts t'.S rt+►711C.7� o d t A-1 <br /> Espedhed 140 hd C] OuolalContreal 1 <br /> 7 Buatness Days ❑ Conflrmalfon!i <br /> SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot 0Storage Locetlon: <br /> Other POO <br /> Businses Days ❑ <br /> QA!QC LEVEL <br /> BLUE❑ CLP❑ OTHEA FAX Work Order 0 <br /> Relinqu d by S or: Date Time Received by- <br /> q3 <br /> Re Inquls d by' ate Time Received by <br /> C U STO Di <br /> RECORD Relinquished by: Date Time Race ed bZ Laboratory: <br /> nov NAI I ?Lit? 09;R2 Waybill# } <br />