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1 4080 PIKE LANE, SUITE C CHAIN-OF-CUSTODY RECORD <br /> G E V CONCORD, CA 94520 - AND ANALYSIS REQUEST 0 415, <br /> (510)685 7852 <br /> l <br /> (800)423 7143 Ott 1 • <br /> Company Name Phone# <br /> (916) 372-4700 ❑ <br /> FAX# 916 72-8781 © = o ° <br /> CompanyAddress Site Location q 110-rr� +6-ri Imo. r° <br /> 1401 Halyard Drive S r �� �, ❑ N ° ° 0 - ° <br /> 47itr, 140, W,Sacramento, CA 95691 <br /> Project Manager Client Project ID (#) 206$6 © 2 V ± [Ja F <br /> Stare # ❑ <br /> Lei �, V a t- <br /> STHL 02070030 (o3U� m LL o ❑ 0 ❑ C] z z ❑ o ❑ p ir <br /> I attest that the proper held sampling Sampler Name(Print) a �@ a v ❑ ° o �a © m a O N Ll <br /> c <br /> procedures were used during the �' v <br /> collection of these samples 3 c C7 y ❑ in 0 0 N - 0 (L t;, ❑ a° N ° o <br /> Ll <br /> o m 0 a m o 8 11 n, - E7 a. p ❑ " <br /> I Method w °° m o ❑ U <br /> Matrix Sampling c� a m ❑ O w a a L7 11 ❑ n o LL <br /> Field GTEL _ Preserved -- _ -._-- t I s l i u► w 0. L N i t <br /> 2 y to tI U a U - Z <br /> Sample Lab Ha w v m cs b m �' r o i; a0 M Lo N N X m N x <br /> I 3 o = �� wD ab Use <br /> O pO w13 (13 <br /> ¢ J tL <br /> wwa Cl U a w w u <br /> U O g <br /> Oonly cn «O Lu- uiui <br /> to I )d itJ2% <br /> rN1W It) J <br /> �1U) . <br /> Ni <br /> SPECIAL DETECTION LIMITS REMARKS �ktA S'C via <br /> im- <br /> TAT Special Handling �xC�' �1 <br /> Priority(24 hr) f I GTEL Contact � � for �ci"A A`,[ (5 <br /> Expedited 148 hr) LI Ouote/Contract# _ r I`, 7 <br /> 7 Business Days LI Confirmation# <br /> Other SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot# Storage Location <br /> Business Days © PO # O <br /> OA1CC Level c <br /> Blue t-1 CLP fJ Other t I FAX O Work Order# <br /> Aell ui b am er ate Receive y 1 <br /> CUSTODYRehnws ed by , Date ime Received, y �J <br /> RECORD VJ 3-2u z I <br /> Reltn rshed by Date Time Received by Laboratory <br /> 4 12 1 Waybill# r <br /> C <br />