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C ` CONCORD, CA 94520 ANu ANAL r*16 rr,�uvcs t .. <br /> NO) <br /> 0 685-7852 ,. 'V. �� ,•�{�f R! NFAI rr�4'�k �.'� '.t i k{t C,423-7143 r.. i <br /> Company Name: Phone!P: <br /> ❑ ❑ v <br /> FAX 1f: ❑ m ° <br /> Company Address: Site location: I" ' _ <br /> ❑ ❑ ❑ g ° a ❑ t <br /> Uy <br /> Projec anager: Client Project lD. (kY`1� r ��x?,.f7, ❑ + + -1 ❑ <br /> L.J t7 �JJW w <br /> v r = N : <br /> -►E �, ' D� NAME ot 2 r o ❑ 0 ❑ ° CO _ ❑ ° <br /> I attest that the proper field sampling Samp! ame(P In1). t 9 ❑ a " _ ❑ ❑ r ° ` <br /> procedures were used during the collection ` # " ❑ ❑ J <br /> of these sam les, ❑ a R O ❑ ¢ ❑ P <br /> Method m " <br /> o Matrix Preserved Sampling a `� a tu <br /> nQ o ° o V 9 13 <br /> Field GTEL ❑ z G ❑ ° ❑ ❑ a n ❑ ❑ <br /> Sample Lab # � Q W ; � � " � � o � <br /> ID (Lab use only) � g W _ a o �,w �, � A <br /> 'k a o r a Ir o z W W a 9 'R• 1:• S o a as s a d as aQ a U <br /> m a co a. O T 5C 2 V o O N m m x x 0 IZ w w w GU W w w w w N e�i C� <br /> co 3 Yk W 3 <br /> 3 36 <br /> a ! <br /> w4 <br /> IJ <br /> 3 <br /> 8MW 117 <br /> t <br /> I <br /> Is2 <br /> I o <br /> r <br /> z <br /> TAT S cial Handling PECIAL ETECTION LIMITS REMARKS O` <br /> Priority(24 hr) ❑ GTEL Contact 1 <br /> Expedited(48 hr) ❑ Quote/Contract N <br /> 7 Business Daye ❑ Confirmation M <br /> SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot N Storage Location: <br /> Other PON <br /> Business Da a ❑ <br /> OA/OC LEVEL <br /> BLUE❑ CLP❑ OTHE FAX E] Work Order N <br /> Rall he y Sampler: Date Time Received by: <br /> Relinqulahe y: Date Time Received by: <br /> CUSTODY <br /> ' <br /> RECORD Relinquished by: Date Time Received by Labors ory: ., <br /> M <br /> Wavbill N / <br /> "TIT 7 - ? ^.-` ^!.;sn-•--' '••�•, Com. r ....,^,:v�:di'.6".�vr,7,•;.-..r.., -fir " . ' - �,�_,- _.F_.�. .. <br />