Laserfiche WebLink
-� 0 <br /> �;T E L 4080•Pike Lane <br /> CHAIN-OF�CUSTODY RECORD r <br /> Concord,CA 94520 800 544.3422(In CA) AND ANALYSIS REQUEST 72- 14 0 U 4 GUSTO RECORD <br /> ie,o�ietoaiEs�iiic 415-685-71352 800.423-7143(Outside CA) ANALYSIS REQUEST <br /> li Project Manager. Phone*:q/6-372--V-7ao ❑ ❑ <br /> f'�'1 r'G lti�ed fi�P I f FAX#: —17a -'977/ mW a ❑ ❑ <br /> F N m b ❑ <br /> Address: W. ScLGto Slle location: ❑ o m ❑ ? S <br /> GA m ; ❑ 0 r 0 0 m ° = o a <br /> I Project Number: Project Name: 6 v o a * + z ❑ a �' <br /> J dz3zo /'197 a-m-L' . r 32 ❑ � zza � $ ❑ <br /> I attest that the proper field sampling Sampler Name(Print): m m ❑ m o ❑ `- <br /> ,1 procedureswere used during the collection b o +� is up ❑ a <br /> of these samples. Tc b w P V'4c-I tv5(.4 N N o m ❑ ❑ ❑ ❑ ❑ ❑ a -C ° n g . 5 <br /> Field Source GTEL ¢ Matrix Method Samplin W A E N a ° o LL <br /> n <br /> Semple 1 of Lab# i Preserved n o o $ In w I m m ? s o b ❑ y y; ; <br /> ID Sam le _ ❑ ❑ ❑ o ❑ ❑ <br /> P (Labuse w N z .� a 41 = D a a <br /> only) 2 W �a lael p W W 'm° u O a o o N n it 2 a v m <br /> t Z W m o m m m 0 Q r1 O o s n <br /> Z ry W p ¢ x $ a a a a a a J Q ¢ o a u a <br /> k N 4 N O z x r �? zO w use w w w w w w [7 U <br /> Q ¢ o <br /> 4 1 Z 1150 <br /> Ni <br /> 7 a27p � <br /> �'""L I 7 l z fo <br /> 3 y <br /> lxw-lj 7 iz�o eu a <br /> 7 <br /> rr.w-G 7 P3l� O h <br /> � I <br /> �T -1 IT <br /> SPECIAL HANDLING SPECIAL DETECTION LIMITS{Specify) REMARKS u 4 <br /> li fL/l�� <br /> 24 HOURS[I 'T <br /> �. <br /> EXPi;DITED 48 Hours f� <br /> I .` E <br /> P. <br /> SEVEN DAY © V j At ,n7 / SIT FiFid /10 172111 <br /> a .0 a f <br /> OTHER (#)BUSINESS DAYS d a <br /> 4A= CLP Level❑ Blue Leve)Cl --SPECIAL REPORTING REQUIREMENTS Lab <br /> ab-f-ee—Only Storage Loc--a- <br /> lion a 7 r <br /> FAX❑- (Specify) c v R' <br /> Lot#: Work order#: S <br /> I , <br /> r. <br />