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5 <br /> 4080-Pike Lane <br /> CHAIN-OF-CUSTODY RECORD 72- 11188 <br /> CUSTODY RECOR❑ ` <br /> i ' <br /> .,= Concord,CA 04520 800-544-3422(In CA) AND ANALYSIS REQUEST <br /> % <br /> 100 H 1.l r N 1 A l 415.685.7852 800-423.7143(OuWde CA) ANALYSIS REQUEST: <br /> t �AIOGA+OYI[S. INC I <br /> Phone#: <br /> ❑ y°x <br /> Prc,act Manager. ❑ ❑Lu <br /> w ❑ p : <br /> FAX#• ,on 'r` '° <br /> _ ❑ m <br /> Site location: <br /> Address: q ❑ ❑ ❑ ❑ ❑ ❑ a ❑ N t ,. 1 <br /> /0-kin.teJ- ✓VI e �elcdo� T t�j m b �aC. r N = o <br /> Proi^ci Number, Project Name: ov cU m ❑m ZX02 g` rI ❑ q , '� L <br /> P U) 0 ❑ �1J <br /> I attest that the proper lield sampling Sampler Name(Print): <br /> procedures were used during the collection rJ <br /> 13 0 <br /> zru 43 0m a N FpU=�rtQ ' p❑ omc� a`-c� NU ^E = o w a❑w cwka cmw�, ccwa� oOw o¢araN C <br /> o o o ❑of these samples. Eo <br /> Field. Matrix Method ❑ aO Sam lin '°'`o vo w❑n upPrcServedSample of Lab# <br /> ID Sample (Lab use w a o h <br /> to <br /> O ❑S only) 2 M 3 a np x aO 4aac a iI!I <br /> rca2r <br /> UJ <br /> \ <br /> 0 a - w— m I rwWQ U o o a a ❑ n ra <br /> .] <br /> 0 <br /> pi <br /> ,A•y <br /> Y` <br /> .�ll_•4 R Ili. f _ Y b 1!;z •' ,r --� -� <br /> -- -- _— ���; !r E ' <br /> 0 C" Clr� <br /> SPECIAL HANDLING SPECIAL DE-ECTION LIMITS(Specify) REMARKS: <br /> 24 HOURS❑ V <br /> EXPEDITED 48 Hours ❑ <br /> SEVE i I DAY ❑ <br /> OTHER (#) BUSINESS DAYS — ---- ------ ------- ---- - ' l '� Lr <br /> OA/QC CLP Level❑ Blue Level❑ SPECIAL REPORTING REQUIREMENTS Lab Use Only Storage Locatlon <br /> o a a <br /> (Specify) C c c <br /> FAX 0 Lot It: Work Order rt: _ <br /> k <br /> �4 <br /> i <br /> 1° <br />