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_ t <br /> P7ce r 9f 7 <br /> Wass� � VIA Personnel: Be sure to include copy of this form .n <br /> ,z,.K.«�-.,.,.�,��TES job billing and field sampling fliesTl <br /> 2M4 Cy,kv3ftAur-;use X1/&-Awel CA 94704/41x[443281 Pro]Oct ID D — Lb _ <br /> Y <br /> CHp I N OF CUSTODY RlE OORD AND ANALYTIC INSTRUCT IONS NOTES TO LAB: <br /> 1)Speclfy analytic method and de— s <br /> Fl*Id Record Laboratory Record tectien limit In report { <br /> 2)Notify us if there are any anon, <br /> Sampled by �iS, L t(AJSZIJ _ Laboratory Name e&w.*1 AEE__ alous peaks on GC or other scans. <br /> 3)Dupllcates listed in parentheses. <br /> Sampled 4)Questlonslclarifications—CALL US. y <br /> Sample 'D Conta�ner Sampling Anal ze/ Analyze for: Analytic <br /> Type Cate Holu rr>�cJ/ Method/Detection Received by Date Condition <br /> C�[FiD " L tni t T7rL ►o'o� <br /> 57- N , <br /> 97 <br /> 1 <br /> x ta- x x <br /> Released by Field Personnel, Date Released by Courier, gate Received by La4f Personne:, Date <br /> TelephoneY <br /> 1. Samplo Type.Codes: 5Navater, S=soil, O=other(specify) <br /> Container Codes: V=VOA bottle. P=Plastic bottle, Glass bottle, T=brass tube, O=other(speclfy) �F <br /> 2. Analyze/Hold: A = Analyze, H = Hold--DO NOT ANALYZE UNLESS NECESSARY OR REQUESTED <br /> j: <br /> I <br />