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Ax <br /> M dMage "f —P-0 4r M <br /> „ Please send analytic results <br /> 8102109 and a copy of the signed chain of custody form to, <br /> WElSS ASSOCIATES � �� <br /> 5500 SAellmound SL.Emeryville,U94608 <br /> PhOAL 415-5475420 tAX. 415 547 504) r i <br /> s Project IDL M-` 331:0 <br /> r <br /> CHAIN-OF-CUSTODY RECORD AND ANALYTIC INSTRUCTIONS ° Lab Personnel: 1) Specify analytic method and detection (emit <br /> r+.'n in report. <br /> Sa led b e wA / i '2) Notify us If there are any anomalous peaks <br /> mA Y Laboratory Name; [ _ on CC or other scans. <br /> T 3) iHY 'QUEST IONS/CLARIFICAT IONS• CALL US <br /> No of Sample ID Conte ner sample Volt Fila Ref4 -Proservative Analyze for AnalyticTurns Caiu>NTs <br /> Containers Type Date .(specify) Method <br /> y" �s-so. s•�.,,��-s t t b <br /> 1 $S-A-lg`5 � �� ltd w��+X► 2�l�trvrs <br /> I RS -A- 23.5 <br /> r <br /> AL Its/9( 3 <br /> t <br /> ` <br /> , . t <br /> S r <br /> Released by (Stgnature), Dae Released by (Signature), Date *} Released by (Signature), Date ,� s <br /> Affiliation Affiliation Affiliation <br /> a 4 !• <br /> 2 Agqjjeke -� I al:aQ 4 ; , r� .~ <br /> rr '' 6 .r 1 'x <br /> Received by (Signature), Date Shipping Carrier, Method, Date a Received by Lab Personnel, Date - Seal intact? <br /> 2amo C-10 1 a <br /> Affiliation Affiliation -� % Affitiatton, Telephone <br /> 1 Sample Type Codes: W - Water, S = Soft, Describe other; Container Type Codess_V = VOA/Teflon Septa,�P fF;ieatic, C of 8 - CleerJera+n Glass Describe Other <br /> Cap Codes; PT ■ Plastic, Teflon Lined 2 = Volume per container; 3 = filterec '&JN); 4 = Refhi�Qerated(YA) s <br /> S Turnaround IN = Normal, W a 1 Week, R = 24 Hour, HOLD (write out)) <br /> ADDITIONAL COMMENTS, CONDITIONS, PROBLEMSt '_ `�' •�;' -' <br /> MTsY • ,4 r� r ~ a <br /> F,\ALL%ADMlX\FORMS\C0C.WP2 t' r _ ` o Weiss Associates 02/15/90 <br /> t <br /> E <br /> w <br />