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4080 PIKE LANE, SUITE C I <br /> HAIN-QF-CUSTODY RECORD; '. ;;.i';; : :R;.` <br /> GT E �, <br /> CONCORD,CA s452o: 3 017 9 <br /> . AND ANALYSIS REQUEST <br /> P510 685-7652 7 <br /> O) 423-7143 <br /> Company Name: Phone 9:(5-J U 6 7 1-2 3 P 7 <br /> Company Address: !o 5- 7 o t �- b9Siie Location: S-7.1.1 L— M � _ ❑ 0 <br /> m <br /> C' J, c (� .. G- ra . fr��� Tr `��Qy Q ❑ ❑ ❑ ° ° d <br /> t U u� N u a ❑ ❑ ❑ <br /> Project Manager: ri`� trS 1 b�� Client Project Ib:(�) 0 70J J3 7 a ± + m © a N <br /> ❑ d <br /> .St �5 r. ��i✓� �] yct m u is ❑ ❑ ❑ z z T o> ❑ m <br /> I allesi that the proper field sampling Sampler Name Print): © N c ❑ ❑ (13© ❑ ❑ Q <br /> procedures were used ❑ �' L7 ° ¢ a cmn � U <br />� 10 <br /> p during y 9 the R 1 ti `� w� � �y1�`� c C7 ❑ ❑ m o rr c <br /> collection of these samples, d cn a o H a m ❑ a N ❑ a° <br /> �, Matrix Method Sampling Q N Q a 4 o m m 0 o S <br /> cc Preserved W a a m ❑ w a n- <br /> `$ Q �^ ❑ a N ❑ Ii <br /> Field GTEL z F ❑ x c v ❑ w w co a s m ;, ❑ o U <br /> Sample Lab # oc w 7 Q [C w m v ¢ � 0 m 0 0 m m O N y <br /> ID Lab Use � J o w 8 p Cc w` w w x — a o <br /> only 3 vOi cc 0 a -J a O X X V z� a W r 0. A 0. 0. U a 4 m o <br /> ��, O o F m m x x O r w w w w w w w w w F w v w O v <br /> Al <br /> ~S 02- .3 I�IrI° X <br /> �af,.1•. I J t�31_ [� i : 01"14 010 I#!�i . i���• 4+ 4.', ���1�.�1 3�_6 X' �_I' 1� ''f- .�$S tr nib' wS 1 •• •'+ V'3�- :'�j ,• <br /> 1 04 4'. <br /> X. r <br /> y ►41' <br /> `Q� r ,: #i+ €� '��.I:*'�x• ;; r�_.� SI [ <br /> � i o :s <br /> 4 1,,�•;�"� O Fl k A;` <br /> i;,, �i .�r� • fit t: . , y v; . •} ,,. <br /> i D <br /> ,.h <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS: t n1 <br /> 3 Priority(24 hr) ❑ GTEL Contac! <br /> Expedited(48 hr) ❑ QuolelConlrect p <br /> a guStneSS Days L1titConfirmation N <br /> I her eresS Days FJP•O. 0 SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot#: Storage Location <br /> CIAIQC Level <br /> Blue❑ CLP 0 Other 0 FAX[] Work.Order p: <br /> Relinq ed by Sampler: ' Date Time Received by: <br /> CUSTODY Z- 7 7' <br /> R fished by: ate Time Received by: <br /> RECORD 9 !r/. 3 <br /> Relinquished by: Dale Time Received by Laboratory: <br /> 4 : 3(2 Waybill 9 <br />