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i <br /> 4080 PIKE LANE, SUITE C CHAIN-OF-CUSTODY RECORD <br /> G1. EF.L <br /> CONCORD,685-7 52 +aa5z0 AND ANALYSIS REQUEST 38535 <br /> E510 685 7852 <br /> 9�: :: 800; 423-7143 ' <br /> Company Nsme- Phone N: <br /> I ! <br /> FAX q: I I I r e ! ! <br /> C�impany Address: Site Location; m s <br /> /� r m I ! l i 2 o Ill! <br /> a - �' '1 t c to ri I I I I a <br /> I ' <br /> Pr lett anagar: Client Project 'D: (0 <br /> d 2660 10Z- <br /> 3 1� N <br /> `fr l n N <br /> M <br /> j b 1 1 a r- <br /> � <br /> r 1 ^ A <br /> I altesl that the proper lield sampling Sampler Name (Print): 25 11 in 6 r i - I I I IN � 9 I I � Cr <br /> procedures were used during the r m ; o ;, I I S I I 0 J , rz , 0 1..l <br /> collection of lhesa sam les. AAWY 1 E n Nof o <br /> a o 4 o y d ! I <br /> Method NI LL o Q a m II M W II a o <br /> rn Matrix Sampling a a o 1 s Q <br /> Preserved m D U ci m l 1 w a n I ! 1 1 I I Ki I I <br /> Field GTE w i 1 = 1 1 I I W u, a s <br /> Sample Lab ` aq'ds�( <br /> V o � d a s fn 14 co .! X N <br /> ID (Lab Use` Oo W Q ao z WxOnl 1 U 0 h U Z o w 0.C q ~ wj W v v 'a x M a q ¢Yzw r > p, aa a o a a a rxaUw a O x z z t? 50 O� o H m m x x 4 }- W W W W u, W W W <br /> MLU 1c;' oz - X - - - -- - -- - <br /> AA 04 10 <br /> —3 —_4 <br /> - ---05 2 - - — - — -- -- . - '� - <br /> 326 X <br /> t <br /> 0-7 Z - s K — - <br /> Mtv <br /> -- -340 <br /> � - - - - -- - - - - <br /> Mko <br /> 10 350 - <br /> i <br /> TAT clal Handling SPECIAL DETECTION LIMITS REMARKS: <br /> Priority(24 hrl i.I GTEL C n a�1 <br /> Expedited(48 hr) FJ Qtiolel ntract 0 <br /> 7 Business Days C1 Confirm lion ff <br /> 01her <br /> "mess bays L) P.O.A SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot ff: Storage Location <br /> 4—OC <br /> QA/0C Leve <br /> Blue❑ CLP U Other❑ FAX❑ Work Order a: C 5 0 30 2- <br /> Fie <br /> Re nqut amp r: -� '�ate ^Time Received <br /> .. 3CUSTODY <br /> RECORD Relinq I, ed by: Date Time Receiv y: <br /> Relinquished by: Dale Time Received by Laboralory: <br /> S O) Waybill 4 <br /> s. <br />