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°� 4080•Pike I-ane CHAIN-OF-CUSTODY RECORD <br /> � <br /> I Concord,CA 94520 800-544=3422 Iln CA) AND ANALYSIS REQUEST 72- 7502 CUSTODY.RECORD <br /> tt <br /> INVI4 0 X M F H T A t 415.6i�5.7852 800-423.7143(Outside CA)� tASO rp 4115. 'XC ANALYSIS REQUEST <br /> Protect Mrr anagejjr} Phone#; .IN7ly ILA z <br /> b U " VJ <br /> ❑ ❑ LU 0 <br /> ❑ <br /> °Address Site location: 17 d <br /> m o ppA =" - U <br /> Project Number. oProject Name: d <br /> p <br /> _ <br /> + a ❑ <br /> �ClZ c o "5 ❑ Li v m m ❑ '� ❑ 8S f <br /> I attest that the proper fie'd sampling Sampler Name(Print): LOu m ° ° r \v <br /> Procedures were used during the collection ❑ c m ri a a c N t o \\\ <br /> Of tY.:ae samples. -f 04 V m <br /> to <br /> t• N M rJ U y D. ❑ ❑ ❑ ❑ ❑ ❑ y0 m ❑ ti <br /> Field Source GTEL rx Matrix Method 5ampllra m ° ° tv 0 E 0 N o ❑ v? >1 n° <br /> Sample <br /> of Lal]# ? Preserved R n m m m m m m �? 13 <br /> n ° ❑ [ C1 <br /> ID Sample (Lnbves w w y .Ua a ❑ ❑ ❑ 0 0 m g a ? a <br /> only) 2 ¢ U cc [i o ❑ _, y u m o v to m n e <br /> O ..r o w b a w w W w m m U loo � m +wo a <br /> o x rq w Z Z I- v O a a o a > <br /> u 3 rUn a ur O z i z V O r ¢ ° o o a a a n4 a a a v a I�e a o <br /> z t3 i= w w <br /> cc <br /> ��yyyyI,' m m a <br /> 4C-, <br /> 4 <br /> N6Rl� _ <br /> SPECIAL HANDLING SPECIAL DETECTION LIMITS(Specify) REMARKS: 7 WCGk <br /> 24 HOURS Cl 6tJ�J�tav�� _m <br /> EXPEDITED 48 Hours ❑ K E <br /> v <br /> SEVEN DAY ❑ <br /> n <br /> OTHER _(#)BUSINESS DAYS ��,,,,w � a • a � <br /> QA/0C CLP Level❑ <br /> Blue Level CISPECIAL REPORTING — <br /> REQUIREMENTS Lab Usti—only Storage Location <br /> FAX❑ (Specily) Cr <br /> Lot#: WorkOrd r# c <br /> li - <br />