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t`x. k. h►,r11siL 11MOMd 1 P aI/La _L 2_ <br /> IF WFJSSASSOCIATES WA Personnel: Besure to include co . <br /> ;.•. pY of this form in <br /> 2054 Chiversity Ave.,Supe 301/6erkdg4 CA 947(4/41 5644 3281 )o b b l l l i n= and field s amp I I n= f i i a s <br /> Project ID 3, <br /> AIK CHAIN OF CUSTODY RECORD ANDJ4 �►� "r t{'p t'�$' - -71.2 -7 <br /> ANALYTIC. INSTRUCTIONS NDTFS 70 1./16 <br /> Field Record 1 )Spccify analytic method and de- <br /> Laboratory Record tection limit In report <br /> Sampied by ] 2)Notify us If there art any anom- <br /> Laboratory Name. *t aloes peaks on GC or other scans. <br /> Sample/ 3)Dupilcate5 listed in parentheses. <br /> Sample ID Contafiner Sampling Anal ze/ Analyze for: Analyti4)Questions/clarifications-CALL US. <br /> TYPe Date Holdc. Method/Detection Received by Date Condition <br /> -� Limit C <br /> 16.. 2 <br /> Pv� <br /> rte_ —Z�c xb Fie x <br /> Y Id. Personnel , Date It ydeaised by Courier , Datei <br /> Received by Lab rtonnel , pate i <br /> 1 . Sample Type Codes: W=water, S=so11 , 0`=0ther (specify) Telephone <br /> Container Codes: . V=Vpq bottle, P=Plastic bottle, G=Glass bottle, � T=brass to . • .� <br /> be, �ather(specify) . <br /> H <br /> 2, Analyze/Hold: A = Analyze, !fold--DO NOT ANALYZE UNLESS NECESSARY <br /> - OR REaUEsrED . '" <br />