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Ask Ah <br /> 4080 PIKE LANE SU11 CC CHAIN-OF-CUSTODY RECORD <br /> ® GT E L CONCORD CA 94520 <br /> (510) 695 7852 TAND ANALYSIS REQUEST 3 917 2 <br /> (©OD) 423 7543 <br /> :" 1 i <br /> Company N-lme Phone M (;)/co) (o <br /> FAX ❑ ❑ © ❑ <br /> Cornp-my Address Site Location m = a ❑ <br /> r 5�/O :hDrn1-oj 1Qr�i F y 0 ❑ ¢ p <br /> < -� C-A 2 Cls <br /> Project l4 mo(jer Chenl I'rojeci ID {{H 3 ❑ rn '+ Ln n 0. � <br /> �133. da5d41 ❑ o V1 ❑ <br /> NAM 5 L R 7onl m LL o ❑ ❑ ❑ © z z ❑ ❑ <br /> I 111CS! Ihat ihn proper hrld SamplingSampler Name(Prrni) ❑ E [) ❑❑ d m ¢ <br /> Irroredurrs wrre used citionq Ilm rd 0 q 0 a a ID tD <br /> fn -r a <br /> colteclion of Ihesr samples C (5 ❑ o t"' © © co <br /> o c <br /> m u a rn a° <br /> Method O " - `� of m ¢ ❑ m m ❑ O C U N , <br /> rn Matrix Sampling o o v ❑ a a c o o ❑ > <br /> Field GYEI_ w Preserved m T v. 4 y ❑ w w w m ❑ a a ❑ LL <br /> Sample Lab H w v a1 ni °� �° $ Ll ❑ D ❑ a a E7 N w C1 <br /> r rr O Cr d m (7 i7 a > o o a v N N x m N w <br /> ID rLit) USn1 G u, J p c] w ww wF w w X 5� c n o m tc �n m m b <br /> ` J z D o x Q u1 w =g ti w w 4 i m ¢ a a a a a a a a A o <br /> only u p Q U z ., za a t- > > a O IX a M a a n. a 4 v <br /> a vl a 0 z z z U �� O� O ,= m m 2 i O 1- w w w w w w w w w U w fa) a O V <br /> — - <br /> — <br /> Y <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS <br /> rr only(74 hr) GT EL Cont-ict __-- <br /> I Ypnriltnd(01 hr) mole/Conte irl U <br /> 7 i3 nstnn4 Diy5 <br /> Cori llf nlatton R --v— <br /> nu,rr - <br /> r;i, inns e,ys �s, it O it - --_ SPECIAL REPORTING REOUIREMENTS Lab Use Only Lot N Storage Location <br /> QA/QC Level <br /> [lion 0 r' 01hnr <br /> _ F-AX❑ Work Order M z <br /> Relinqui0r,d by 5amplrr Date Time Received hy <br /> CUSTODY <br /> RECORD Rohnqu,'hecipyDate Time Received by <br /> Relinquished by Date --,rime Received by Laboratory <br /> Waybill N <br />