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IGTEL 4080-Pike Lane CHAIN-OF-CUSTODY RECORD <br /> Concord,CA 94520 800-544-3422(In CA) <br /> AND ANALYSIS REQUEST . ' 72- 3413 CUSTODY RECORD <br /> ENVIRONMENTAL <br /> �oR�TORIiI$.INC. 415-685-7852 800-423-7143(Outside CA) ANALYSIS REQUEST <br /> Project Manager. Phone*:914 3 72 -y 700 ❑ Q ❑ ° <br /> �► a _9 37 2 8/ w N ° <br /> I S�► e r FAX*: //o m o 0 m m ° <br /> Address: Site location: ❑ o � o D <br /> , ,Ickfm ° ❑ .2 # <br /> Project N mber. ProjectName: oo Z of o ° + + >o X <br /> 8 i s DrtfrNerC� 3 m ❑ � 0 0 a z z v c°n' c0 El <br /> a <br /> I attest t at the proper field sampling Sampler Name(Print): o m ° ❑ o <br /> procedures were used during the collection /�,� p o d "' d g M C 1. o <br /> co I <br /> of these samples. C'""llo 1. 1" 06►re N N ❑ ❑ ❑ ❑ ❑ ❑ a O a � � <br /> O o ❑ �, = 0 0 0 0 o O ❑ ' U) a r <br /> Field Source GTEL o Matrix Method Sampling � rD `� 0 E N a � �, o a ❑ m <br /> CL <br /> Sample of Lab# z Preserved ❑ c� 0 6 0 0 0 CO a CO CD CO <br /> ❑ ❑ ❑ m o <br /> ID Sample (Lab use Fa w ! o a ❑ - d N ro o v u� <br /> only) 2 W (9 <n ° w w W N U Q aV O O O N N j< .N m N - - <br /> O 0 w O O Z ! w w m co cc co <o cn co p a ti o o <br /> U a Qac 3 U z N V O Q w az 2 0 o a a a a a a a _J a ug a o o Q o 0) v <br /> # 3 m'a cn O = _ _ _ Z O o P Y m r� p a �- w w w w w w w F- w _J v v a� y <br /> Ir <br /> .. / 2 Am <br /> . .... <br /> ^� <br /> / - P <br /> MMWA <br /> .ter I - - X1 <br /> SPECIAL HANDLING SPECIAL DETECTION LIMITS(Specify) REMARKS: �fcC2 uoje,Q <br /> 24 HOURS ❑ w.cs E <br /> EXPEDITED 48 Hours <br /> SEVEN DAY ❑ <br /> OTHER (#) BUSINESS DAYS �lg—t1m.r r,`S a a <br /> QA/QC CLP Level ❑ Blue Level ❑ SPECIAL REPORTING REQUIREMENTS Lab Use Only Storage Location <br /> FAX (Specify) Cr a. or <br /> 1 Lot#: Work Order#: R :: <br /> t <br />