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G10500 UNIVERSITY CENTER DRIVE CND Al ICUSTODY REDORD ,TAMPA, FL 33612 AND ANALYSIS REQUEST2451T� - <br /> RONMINTAL (813) 979-9092 <br /> LABORATORIES ING <br /> y Name Phane# / 7./-,::;79o"-7 <br /> FAX# ❑ a _ C3.ampany Address f- 51te location �{GG,/ �/J /. 0 ❑ <br /> 13 0 v - ❑ ❑ ❑ p <br /> fi(L / �i'�. ❑ o Y' a 2-1 <br /> i7 8 <br /> 'ro ct <br /> Manager hent Project ID (#) r ❑ y � �- a ❑ a ❑ <br /> 1 g m Tcn cn u, a v D <br /> NAME �: �1� P ! a ❑ 0 p fl Co z ❑ > ❑ p ; <br /> tes tat the proper field sampling Sampler Name(Print) # ❑ ❑ c 0 N ; <br /> rocedures were used during the collection 1 <br /> f these samples �. N��- r� I �- ❑ `n ,�, n o ° a n a a ❑ <br /> j'£} Method N s` °' CO m a in W ❑ c m ❑ O a U `° <br /> r Matrix Sampling w 4 �* m a s 0 g ❑ <br /> Field GTEL Preserved = a H 0 ❑ w w -J a ❑ N <br /> N N ❑ A ❑ <br /> 1,f ti Sample Lab # rL 7 ¢ R co p ? M ,- m N <br /> ri ri ID (Lab use only) �_ °o z 0 0 6 W w ' ' ti z m i� a a ¢ a <br /> Z V ��¢ F- a. y. 0- 4. 0_ 0_ O_ d O. 0- 0_ c) a- ¢ m O �- r• <br /> F m w x o I- w w w w w w w w w I- w U o U1i I IV " <br /> t r <br /> �r r, <br /> s I. <br /> Gtr <br /> I � <br /> 'r�2r <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS <br /> 3Tl6.dty(24 hr) ❑ GTEL Contact <br /> Expedited(48 hr) ❑ QuotelContract# 1L <br /> 7 Buslress DaysConfirmation# <br /> , -, <br /> ❑ <br /> Other Pp N SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot# Storage Locition <br /> 3usiness Das ❑ o�-~ ,��j <br /> QA I QC LEVEL <br /> 3LUE❑ CLP❑ OTHER FqX❑ Work Order# <br /> t _ R lingo had by Sampler Date Time Received by <br /> CUSTODY ,utquisFiA by 1�+ Date Time Received by <br /> j I <br /> RECORDRelinquished by Date Time Received by Laboratory <br /> iv 7191 �� - Waybill# r f /�r �� t 1�r. <br />