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4080 PIKE LANE, SUITE=C CHAIN-OF-CUSTODY RECORD <br /> CONCORD, CA 94520 1 f f " 3083 <br /> (510) 685 7852 AND ANALYSIS REQUEST MGT <br /> (800)423 7143 <br /> Company Name y Phone H 1/(67 y-7 Z Q r7 1 <br /> FAX q �� �7y b"7 a ❑ <br /> Company Address Stte Location m _ ❑ l� <br /> �,� m cc <br /> ��1�1 Al [fir 61 �0 .SarZ. 2,6 y8�� /�I r_ � � ❑ ❑ ❑777 � ❑ <br /> r <br /> Pr ct Man qw-, Client Project ID (q) Oa ❑ "' N v <br /> t�! 7�t � 7f7 ❑ W N to ❑ ~ N y <br /> >N mtiQ ❑ o r7Zz � � ❑ <br /> I attest that the proper field sampling Sa pler Name(Print) r ❑ in ro a T ❑ ❑ N E L] t t o: <br /> procedures were used during the �-'^ b o ❑ t ❑ o -J ", m E Q N <br /> o <br /> collection of these samples J Itj/�LAS 3 c� ❑ "' a N ❑ ❑ Co ¢ a c <br /> o N u4i a o F o a m ❑ a N U o <br /> Method © m Ch in a ❑ gy m © a o - �� y <br /> Matrix Sampling N �, Q o a a a o ❑ > 0 <br /> Field GTEL w Preserved � „ a y o ❑ w a W 0 ❑ ❑ F, H ❑ o V $ J LL <br /> z ❑ z c c ro ❑ w w m a � m v L7 D t , <br /> Sample Lab c w v N {,° m m - ❑ ❑ ❑ a a ❑ 1-9 m m <br /> ID Lab Use Z w o� W (� o e n o m m N H <br /> 1/ 1 (7 r oW:F v a a +Qn m p <br /> only ! a p a ? s y V �Zw �, 4 H F �, a a s a a 4 a as a i Q a m o <br /> ��r��,,��,� 3 ut a to a o x x x _ O o }= m m z x p H w w w w w w w w w a2 w 0 � O v <br /> ! , — 1231 o i z31Y 1 1211(. 1160 <br /> 5b - -- <br /> 0 <br /> • `of os <br /> • �� t <br /> toy -- - <br /> ' I <br /> 11-12 <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS <br /> Priority(24 hr) n GTEL Contact �r t[.G� A 4 5 5�1 1 i"t� 101 _ <br /> Expedded(48 hr) ❑ Quote/Contract# [ U T 1(/ <br /> 7 Business Days ❑ Conlirmalion N <br /> Other <br /> Business Days r_7 P O Al SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot k Storage Location <br /> awac Level <br /> Blue❑ CLP C1 Other$< FAX❑ , Wqrk Order If /—FE-AAP $ I <br /> Rei wished by Sa er ate Time Recei/ y <br /> CUSTODY __ 2 <br /> RECORD R i q e y D le Tire Rec ed:� <br /> by <br /> Re nquish d by Date Time Received by LaboraI <br /> Waybill# <br />