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tIiiiiiiIiIIIIII , Jroa9 of min an r <br /> ease se anal"res - <br /> F and a -copy of the signed chain of custody form to. <br /> WEISS ASSOCIATES <br /> , <br /> ; <br /> 5500 SALI1m0Ynd SL,Emeryv(11e,CA 94608 - <br /> Phonc 4153475420 PAX. 4 1 3 34 7 5043 <br /> y Project 10: <br /> t 61�• � , <br /> CHAIN-GF-CUSTODY RECORD AND ANALYTIC INSTRUCTIONS i; Lab Personnel: 1) Specify analytic imthpd and derection limit - <br /> E�/✓I��1 -I1� r in`report. <br /> Sampled by: " � Laboratory Nam. <br /> "'hYzS '2} ontCCyorsotherhscansre any anomalous peaks <br /> ^j 3) ART QUESTIONS/CLARIFICATIONS CALL US <br /> % <br /> No. of Sample ID Contaner Sample Volt Fila Rif 4 Preservative ' � Analyte for "-Analytic "� Turn3 COM�ExTS <br /> Containers Type Date (specify) • - Method <br /> BS—R-qo y - S � t �xz` N y 96 <br /> 1 89-R- &5,6� �— A.— <br /> «� <br /> US f <br /> BS 6-ss f 1�kk <br /> � n t <br /> Reteased by (Signature), Date Released by (Signature), Date Released by (Signature), Date <br /> T U&- 6 35 e,f a <br /> Affiliation Affiliation Affiliation <br /> 2.�.�ArP ._ / <br /> Received by (Signature), Date Shipping Carrier, Method, Date Received by Lab Personnel, Date ._ Seal intact? <br /> E1d Vat <br /> 2 �,S 4 6g-Ai-Too CONS . <br /> Affiliation Affiliation Affiliation, Telephone <br /> 1 Sample Type Codes: W a water, S Soil, Describe Other; Container Type Codes;` V'a VDA/Teflon Septa, P i'Plastle+ C or B • Clear/Brown Glass, Describe Other, <br /> Cap Codes' PT • Plastic, Teflon Lined 2 a Volume per container; 3 a Filtered (Y/N); 4 Refrigerated JY/R) - <br /> 5 Turnaround IN ■ Normal, W s 1 Week, R a 24 Hour, HOLD (write Out)) ' <br /> ADDITIONAL COMMENTS, CONDITIONS, PROBLEMS: <br /> F \ALL\AJ)K)N\FORMS\COC,wP2 0 Weiss ASSOC4ateS 02/15/90 <br />