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I <br /> �� 4080-Pike Lane CHAIAFOFFCUSTODY RECORD <br /> Concord.CA 94520 800.544-3422(tn CA) AND ANALYSIS REQUEST 72- 14004 cu <br /> r 1 N V I R O N M r N r A L 415-$85.7852 800-423-7143(Outside CA) <br /> it iARa:AivRlI INC. ANALYSIS REQUEST <br /> FProlectManager. Phone#:RK­37z-*7oo ❑ p <br /> ~ F^'tf* e-mail G>�OTT+✓�/ FAX -T?a -S71?fUJI -C Q a <br /> H Address: W. SR=,to Site location: o D in n ❑ J <br /> ❑ ❑ Es <br /> 1.y T�fvl Ka ! Lu � m ❑ � ❑ ❑ ❑ ❑ in <br /> a «i r r� s a T o e, , <br /> 4 1 Project Number. Project Name: 2 0 ` M v o h + + v <br /> z 3 z a /.19 7 L N ❑ .: N u m m ° F ❑ c " {`Y <br /> _ _�'l0.ww 0. PY'O _ 3 9 0 0 p O z Z m m °—' 2 ❑ Y <br /> /y I attest that the proper held sampling Sampler Name(Print): 13 m ro 1 d m ❑ ` e <br /> procedures were used duringshe collection 9 6 �j ; ❑ $ <br /> -+ Y of these samples. Tn�'-L+- Y'�G(w�vs(,, a a C v ` ° "k <br /> ry N <br /> rt ! 1 X O �, Te 6 m¢ ❑ a�° Q-a� WUAm Um°+Field Sou ¢ a ❑ c LL❑ ❑ ❑ ❑ 7 <br /> rC6GTEL Matrix Method am lin m <br /> Sample OCIO <br /> mmwCID z Preserved 1 c � $ m ! a <br /> I? Sample (Lab use R ❑ <br /> W � 2 ❑ ❑ ❑ ❑ ❑ ❑ <br /> o eN .0 oonSYl lCr 1 <br /> O d <br /> v yT 2Z ❑ 0 <br /> .�a <br /> d <br /> w0 x ntm <br /> UJIW aw w w ww Q <br /> N5a <br /> , N <br /> Fginp <br /> dhF. <br /> 7 lz3o \ <br /> I <br /> 0'H cu- 12So a a a � a h,u <br /> rrrw•S 7 <br /> 7 !J!v O a <br /> SPECIAL HANDLING <br /> SPECIAL DETECTION LIMITS(Specify) REMARKS: <br /> 24 HOURS 0� ,�.�,L G� � n <br /> EXPEDITED 4t3Hours 0 77 +" E <br /> SEVEN DAY G] - 19 Af 4 j 7-FJ T F/F[a /)e. r`n 4 <br /> OTHER (#)BUSINESS DAYS <br /> QA/OC CLI?Level[:] Blue Level❑ SPECIAL REPORTING REQUIREMENTS Lab Use Only Storage Location _ n <br /> FAX I (Specify) Lc Cr <br /> I <br /> Lot it: Wcrk Order#: m <br /> o= ¢ <br /> i <br /> d y <br /> I <br /> • .1 <br /> gn i4 <br /> i <br />