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4080 PJKF I ANE SUITE C CHAIN-OF-CUSTODY RECORD <br /> . G L (5![)) Gas 7CONCo5 765?52 nD CA94520AND ANALYSIS REQUEST 3 4 0 2 6 <br /> F;pmpany Nanin Phone ff ���) Cad / - •�3��- <br /> _ II <br /> G , FAX ►t I <br /> —Company AdrIrPSS 5de Localion c a <br /> i( <br /> -Cc) U` v tti7e n!I! J T17.^ n4U d i I I I I I n IN K o <br /> 9 CA <br /> I'rofrcl Mnn-trlrr Client Prole( lU (H) 3 I I y ry I I J <br /> (63'r-7I <br /> 13r, c,_---i G-c,3--bcj- �- JUS ar.f m a o f i I I I I ! 1 Z z !I <br /> I aIle,!Mat the proper field simpling Sampler Name(F nnt) I I N ' I I f I I °, � I ff <br /> IX In prrXedianc wore irtnd dimnq the Ii-rl T NI I ! f I m Q Z <br /> collection of Ihr-r S7rr1 let , I C 11 a n a r) ,� I r rn <br /> n. 0. m n <br /> Method l i A LL m U [" I l N � l i a Q <br /> N Matrix Sampling a � � n m lI i a � � � � r f� i I � �i F� <br /> Field GTEL w preserved — -- l i i c c b l l l l w ur a s 43 � 1 I l <br /> Semple Lab N T ! ' N p Q � m m v - I I f l f_f a s u <br /> ID rl ah Usp F rz a o R $ c� ° Q n Fd o I I <br /> ` Only J 2 a s �j S O w 4w a Fw- rw- o a -� a o a a a a a a a a u a -t m <br /> rn a 0 z a� ON o >- m m x z O M w w w w w w w w w h w V i t� <br /> y <br /> TAT Special Hlindling SPECIAL DETECTION LIMITS RFMARKS <br /> r rionty 124 hrI I GTEL Conlad <br /> F.ped-ted(tl3 hr) - i ouole/Contract N <br /> 7 Bus nrss Day-; I I ConlrrrnaUon t+ __ <br /> Other S+--C'- - <br /> Business Days P O N ___ _ — _ _ SPECIAL IM=PORTING REOUIREMENTS Lab Use Only Lol N Slorage Localion <br /> QA/QC Level t)� <br /> 131uP I I CLP, Oth-r,, I __ - _ FAX❑ Work Order N C (f)C--, 7 1 <br /> Relinquished by Sampler Dale Time Rece ed y <br /> CUSTODY Rr,lln uisned by <br /> _ 7Time Rec $�by <br /> RECORD G - I - <br /> nehnquished by Dale Time Received by Laboralory <br /> 1e?S 1 1(, 00 Wa bill N l' �+ <br />