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v <br /> ' I <br /> CHAIN-OCUSTODY RECORD <br /> ` a4080-PikCHAIN-Or-CUSTODY72- 14004 cusr0 AND ANALYSIS REQUESTv RECORD <br /> Concord,CA 94520 SOEF544 3422{In CA) <br /> i:�oi� t„iwe 4115-685-7852 8044237143(Outside CA) ANALYSIS REQUEST <br /> Project Manager. i1 Phone#:416-3 7z-*7oo w ° w ❑ a <br /> WI/GL�G Gi' Y10l1 P, FAX 4: 7'0Z -�77/ rai o m v ❑ <br /> b <br /> d Address W faa-t;o Site location: ❑ ❑ ❑ ❑ ❑ ° <br /> n # <br /> l�fu [ Ka! and c7r S�aGY_ I-tlrn GA ° <br /> ❑ c u, x a = O m rr <br /> k Project Number. Project Name: y + <br /> k. oz,3aO /5/97 Gl.uuv.a. P # co . �' z z b N 10El <br /> o ❑ <br /> I attest that the proper field sampling Sampler Name(Print): q C3m c <br /> procedures were used during the collection�al~►� N v o W a a s N 4 <br /> s Of these samples. R MC'1. -rSL-• N o Z a Q la a O ❑ ❑ Q m u A <br /> Field source GTEL it Matrix Method Samplin y K 0 0 o F, N a C1 <br /> Sample <br /> 4° o <br /> ,F Sample of Lot)# = Preserved t� o 0 0 o ti ❑ t3 ❑ ”` m o <br /> ID sample ILeb uve r'a <br /> a s •a `m o ro n s <br /> ¢ w + m ra n Ti ° 0 0 e`r„ ori i2 °1 <br /> s <br /> only) z w p w O z W u1 U] yc sZ m n Q a w ra in m m n p a a p <br /> tai a J¢ x m w !- w ui s a m a a a a a a r a C <br /> O U Z Q ¢ � r e. Q o a a m a a a a. u a u� a o u u u V <br /> M YJ¢ V) O = S — Z Q W m �- 0. �• r w w W w W w w I- w w U U ¢ <br /> y — l — E E E <br /> 122P z <br /> P"w-z -- — 'x'o �+ <br /> t 1 -3 <br /> Mto•5 _� - --— 73aa .i I <br /> 7 X310 `d <br /> wL I I tTL <br /> t. SPECIAL HANDLING SPECIAL DETECTION LIMITS(Specify) REMARKS: c <br /> 24 HOURS❑ G� r7 E <br /> RW <br /> EXPEDITED 48 Hours ❑ FIFC <br /> 1,• '' -�e4 Nom% T,�'1T <br /> SEVEN DAY 0 <br /> OTHER (#)BUSINESS DAYS _ _ ) N 0 . <br /> QA/QC CLP Level 13 Blue Level❑ SPECIAL REPORTING REQUIREMENTS Lab Use Only Storage Location <br /> FAX 13 (specify) Lot#: Work Order#: ¢ m <br /> s . <br /> S, 1 <br /> R <br />