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,I�■r rr ire �1r �r A 4rr <br /> C± ;� ,� ►Z�S S.F+ Page of <br /> —1-1 v Please send analytic results <br /> and a copy of the signed chain'of custody form to <br /> 04WEISS ASSOCIATES �• r A , <br /> 5540 Sheilmound SL Emeryuilie,CA 94608 f t� f /y� <br /> Phonc 415-3475420 fAX 415547504J C Protect ID' I — �+ —"q <br /> L � ' <br /> CHAIM-OF-CUSTOOT RECORD AND ANALYTIC INSTRUCTIONS Lab Personnel: 1) Specify anatytic method and detection li^iit <br /> In report. <br /> 1 [ <br /> 2j Notify us If there are any anomalous Peaks <br /> SaeW <br /> pled by- _ Laboratory !tame; " on GC or other seams. <br /> = 3) 'AN' QUESTIONS/CLARIFICATIONS CALL US <br /> No of Sample ID Contaner Sample Vail FI l3 Ref4 -Prpservative `` Matyxe for Analytic TutnS COMUEVTS <br /> Containers Type Date .(specify) Method14 <br /> I]g�ff'37e3 - 1 ? r kN, �Gti� w N0. I�EL �D�l! Iv �Y�I�T I�j�h►Q+.111r[ <br /> -M.9 <br /> �i0,1 lira�Ca l<�f?14 <br /> �a 6- <br /> C1 <br /> BQ•B ` ,S G� tit 3zS-3 <br /> .No- 72a }'_ ? COO <br /> 30,5 d I tD '335 3 <br /> —21 '• Nd CIL 6010 <br /> W " ^q ^� 3z5.3 <br /> — 141.0 1, No ICA i 6010 , <br /> Soo G1 Z5. 3 <br /> eA <br /> C <br /> Reteased by (Signature), Date Released by (Signature), Diate, Released by (Signature), Date <br /> 1 3 <br /> Affiliation Affill�ation Affiliation <br /> 2 4 14 6 I Ill x <br /> Received by (Signature), Date Sh pping Caerfir, ethod, Date Itcelved by Lab Person , D-at4 seat intact <br /> t 4 ZZ.L 6 / <br /> Affiliation Affiliation Affltiatton, Telephone <br /> 1 Sample Type Codes. u = Water, S = Sall, Describe Other; Contalnar Type Codess- V ■ VOA/Teflon Septa, P �-Ptastic, C or S • Clear/Brown Glass, Describe Other, <br /> Cap Codes: PT = Ptastic, Teflon Lined 2 • Votume per container; 3 = Fitteredi(Y/V); 4 = Refrigerated (Y/N) <br /> 5 Turnaround IN = Normal, W = 1 Week, R = 24 Hour, HOLD (write flut)) <br /> M1110MAL COMEMTS, CON0111ONS, PROBLEM <br /> " r <br /> F \ALL\ADMI9%FORMSICOC WP2 ,. 0 Weiss Associates 02/15/90 <br />