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r CONCORD, CA 94524 � AND ANAL YSlS REQUEST <br /> iAl <br /> 510) 685-7852 ��� <br /> iNV1p iHFryir f + 'imw ."' r <br /> _ tAiOiAlOA1i! 1Hc, ` - 800 423-7143 <br /> Company Name Phone# <br /> � � ❑ <br /> FAX 0 ❑ 13 <br /> Company Address Site location is ❑ <br /> ❑ 13c) o_ <br /> Project Manager Client Project ID q ❑ + 0 13g ( )Q�lZlt-�03 6`f' �, �, <br /> n1 A �� NAM V E3 ❑ ❑ 13z z 0 ❑ ti ac <br /> I attest that the proper field sampling Sampler flame(Prl t)• o ❑ m C3 13g E3 E3 <br /> procedures were used during the collection a ❑ ❑ " a <br /> of these samples ❑ i? c 13 a o E3 L 2 ❑ ;1 Q ❑ r <br /> Method � � � a � 0 €d0 <br /> Matrix Sampling o a a E3Field GTEL Preserved a o ❑ ❑ ❑ S ❑ �' ❑ <br /> Sample Lab # c� W � 13 (, a ° ❑ ❑ ❑ � 13 <br /> ID (Lab use only) <br /> S IoW - cc co <br /> * COMMMt- z � � � <br /> rn ;z w a O z z x v F 8 �I b 681 s °W lil lsil lzil + <br /> � l <br /> 001 <br /> LL 1' X <br /> 4 <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS ; <br /> Priority(24 hr) ❑ GTEL Contact <br /> Expedited(49 hr) ❑ Quote/Contract# <br /> 7 Business Days ❑ Conflrmallon# <br /> Other ST7 po SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot# Storage Location, <br /> Business Days ❑ 0� Q'0/_ <br /> OA!QC LEVEL C ,j V �P <br /> BLUE❑ CLP❑ 0TH Fi FAX❑ work Orde <br /> ae5t1mid <br /> RI uis d by Sampler Date Time Received by: <br /> It% <br /> �o <br /> CUSTODY Relinquish d by: Data Time Recelved by: <br /> RECORD Relinquished by, Date Time ME;by Laboratorr <br /> Rev 7191 �rO� <br />