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4080 PIKE LANE, SUITE CAIN-OF-CUSTODY RECORD -41949 v <br /> CONCOfir) CA 94520 AND ANALYSIS REQUEST <br /> IGTEL. (510)685 7852 <br /> r <br /> (800) 423-7143 <br /> Company Name Phone q <br /> (916) 372-11700 o <br /> Fluor Daniel GTI FAX# (9161 372 -070 <br /> r7 ❑ e ra L ' <br /> Company Address 11101 rI) '.Site Location yn p ¢d o <br /> Sty. 11ID, W. St <br /> z� 'nrr-rt-), CA955' 1 Cl m ¢ <br /> u v ❑ ,n �' <br /> { [/111 Y rn o .n v <br /> Project Manager Client Project ID (9) � _ ��411 (] �� � `« � L] � � <br /> J t'7t e } [�] a N Ln N W a P N S <br /> 'L o [� N I J z z z 0 ❑ G <br /> attest that the proper field sampling Sampler Name (Print) c 1 I tJ m] <br /> procedures were used during the C �' m ; ry ❑ r] m a a N o � [c _ <br /> collection of these samples r-^ 7r '+ 1 < 4 , 0 o y D a NN o N a a s <br /> Method o tL CD "' ui m a G m II m o I_l a O c� oLn <br /> Matrix Sampling 0 ro l l o I l a a o ul �] I� Q a '� "' I ] <br /> Field GTEL Preserved - I j LL1 W m 4 a0 y N i l r I <br /> Sample Lab1 F u o 0 v r� j I N eol 'v u�CL (LI0 x '� w w _J , <br /> ID (Lai)USe� n. W 5 CC L'C .c lS - ]. O O O O N N N rJ U > <br /> 1 Z W Q d lil n 0 ww w g LiJ LJJ X ?� 2 ` C �_ u7 tD D W [0 c0 t0 O N O <br /> only U J a O S O N W n¢ = H W W v �° x m ¢ a Q Q a Q Q F' J Q a +° , <br /> y o 3 (n ¢ uJ a d z z z U uw O 00 1 m m = I O ►�- w Lail w w w w w w Lail iU- w 0 J O U - <br /> n <br /> K <br /> It 1 S tJt -- <br /> 1,.- Io <br /> 1 jr <br /> + <br /> TAT , Special Handling SPECIAL DETECTION LIMITS REMARKS + <br /> i'+loniy(24 hr) I i GTEL Contact <br /> F rprd+ted(48 hr] f Ouote/Contract 11 <br /> 1 riusiness Days I Confirmation H <br /> 01herOther —*-- <br /> ess Days I I P # SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot d Storage Location <br /> CA/0C Level <br /> Blue I I CLP r i Other F I _ —_ _ FAX❑ Work Order H <br /> I <br /> Relinquished w Sampler Date Time Received by <br /> CUSTODY 'i4`"`� - J -i -2 :� <br /> Relinquished by Date Time ReceAd by <br /> RECORD <br /> Relinquished by Date Time Received by Laboratory <br /> Waybill k <br /> t <br /> 1 <br />