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Ew ` CONCORD, CA 94520 ANl7ANALYb0Hr.WUCI <br /> J <br /> — _ •r <br /> 685.7852NVIR 0 b AlOR , t+ecr81000 423-7143 ,�` r is}i <br /> Company Name, Phone N b-71 � ��7�� D � <br /> �. AC. FAX y _] � ❑ 12 0 i7 <br /> Company Address <br /> Site Location• J Ia TMIMA) D D c <br /> $ ❑ <br /> 465 t C I Cd�� sTCVC row c► o ❑ <br /> Client Project ID. (#) ❑ ± ❑ �• <br /> Project ManagerO 2Q'�8! J r 01 Lu <br /> II J `eta � 0 <br /> NAM NL T 1i6A oA1 CI ❑ ° ❑ ❑ z Z ❑ ❑ 13 <br /> I attest that the proper field sampling Sampler Name(Prl tJ• a ❑ N ❑ ° Z <br /> procedures were used during the collection J 0 ❑ �• ❑ ❑ ❑ CO <br /> t old CI f Ira © a 2 ❑ <br /> of these sam lea �°� o. o. ❑ <br /> Me od <br /> m v ❑ ❑ ❑ ❑ ❑ <br /> r Matrix preserved Sampling D = cn ° ❑ $ ❑ ° ❑ <br /> Field GTEL ° <br /> Sample Lab # � � � � .. ❑ ❑ ❑ <br /> o � a s Il <br /> ID {Lab use only) 1 � o d wm � s4a � 4a e <br /> aNaCi � a = alt ® St l'� � 1 � 681� � c ° <br /> AA I V11 I WN <br /> MA IIr <br /> wnfi — <br /> Mw <br /> J 34(TAT SITecial Handling SPECIAL.DETECTION LIMITS REMARKS <br /> Prlorlttr(24 hr) ❑ OTEL Contact <br /> Expedited(44 hr) ❑ QuotelConlraat N <br /> 7 BuNnm Dalry ❑ Confirmation A <br /> Other PO I SPECIAL,REPORTING REQUIREMENTS Lab Use Only Lot# Storag;L.ocatlan• <br /> GIA I OC LEVEL <br /> BLUE❑ CLP❑ OTHER FAX Work Order A 70 <br /> :ReelbVS , r. D <br /> ate Time Received by: <br /> ' 43 azo <br /> CUSTODY by crate Time Received by <br /> RECORD Relinquished by: Date Time Received by Laboratory. v <br /> �Il owe Waybill <br />