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4rPlease send analytic results <br /> SWIMand a copy of the signed chain of custody form to <br /> 7WEISS ASSOCIATES � � <br /> 3500 Shelfmouhd SL fineryVille,U94608 JIA4� <br /> PhonL 415 547 3420 FAX 0 547 3043 f ?-3 <br /> Project IDs f .7LO <br /> CHAIN-OF•CUSTODY RECORD ANO ANALYTIC INSTRUCTIONS Lab Personnels 1) Specify analytic method and detection itmit <br /> in report. <br /> Notify <br /> If <br /> Sampled by, WIC Laboratory Meme ? on sthere re any anomalous peaks <br /> rotherscans <br /> ; <br /> 3) &H,Y, QUESTIONS/CLARIFICATIONS. CALL US <br /> No. of Sample ID Conte ner Sample Volt F113 Ref4 Preservative ' Analyze for Analytic Turns COMIENTS <br /> Containers Type Dateik 1i -{specify) Method <br /> Cr kn s.�,•� <br /> f b <br /> t $S-A-Ig.S �2rd <br /> t RS -A- 23 S 2 SNL-B <br /> I B9-A- 27 4 Z - - <br /> 5 , <br /> 1 1 <br /> 1C4, v <br /> Released by (Signature), Dae Released by (Signature), Date Released by (Signature), Date <br /> I W P/�]d ai-o< 3 5 <br /> Affiliation Affiliation Affiliation <br /> 2 f c -I ar � ;o 4 b x <br /> Receiyed by (Signature), Date Shipping Carrier, Method, Date 1 Receiyed by lab Personnel, Date Seal intact? <br /> t <br /> z LAY7W F>ti'Z! CONSL 1 <br /> 4 6 <br /> Affiliation Affiliation Affiliation, Telephone <br /> I Sample Type Codes, N a Nater, S a Soft, Describe Other; Container Type Codes; V ■ VOA/Teflon Septa, P s Plastic, C or B Clear/Brown Glass, Cescribe Otter, <br /> Cap Codes P1 1 Plastic, Teflon Lined 2 s Volume per container; 3 a Filtered (YjN); 4 a Refrigerated (YIN) <br /> 5 Turnaround IN ■ Normal, W . 1 week, R = 24 Hour, HOLD (write out)) <br /> ADDITIONAL COMMENTS, CONDITIONS, PROBLEMS. <br /> dr <br /> F \ALL\ADMIW\FORHS\COC NP2 , C Weiss ASSCCIateS 02/15/90 <br /> I <br />