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I I <br /> 4080 PIKE LANE, SUITE C CHAIN-OF-CUSTODY RECORD W41928 <br /> JGTEL CONCORD, CA 94520 AND ANALYSIS REQUEST <br /> ! r ItNNI.ONYIN <br /> 51 O)685-7852 <br /> lNouw.,n 1KC (800 423-7143 <br /> ` <br /> Company Name Phone# (916) 372-4700 <br /> 916 372-8781 <br /> Fluor Daniel CTI ��# ( � ❑ � © r <br /> i Company Address Site Location �' l Ve- ❑ ❑ p <br /> Ste. 140, W. Sacramento, CA 95691 L*N 0%6, ❑ ❑ ❑ N <br /> d m ❑ <br /> � o in � � d ❑ ❑ <br /> Project anger Client Project ID (#) Store # -6 m 0 d <br /> Jaff Auchterionle STHLI02070LQLbi -(056� w o ❑ o © m m = o ❑ o C w <br /> ❑ z z ❑ > <br /> I attest that the proper field sampling Sampler Name(Print) a ❑ o m ❑ ❑ o ❑ ❑ v m o o ❑ <br /> -qkprocedures were Used during the v p �, a ❑ p a a ❑ a° a` <br /> collection of these samples 3 w+Yi �► S�o�rt r c,�., o r a o N a m a 0 a <br /> © m � y ¢ o$ a$ ❑ N a ❑ a O r <br /> Matrix Method Sampling $ a ❑ ° w a a 9 o o - a D <br /> Preserved � N � ❑ w w 0 � 2 ❑ p <br /> Field GTEL ❑ M G 1 n 11 o N <br /> Sample Lab# a o wz_ " o c <br /> It ID fLab Use �++ -, o w a; "' w v ro m m ¢ a a a a a a a 9 <br /> l only ! c� a o Q a t� z N w $W a r ''� a , - a p a a a a a a a a v a a m <br /> : m a m a O x x s v �h O'? n i" m !n s = O r w w w w w w w w w H w U O C� <br /> ! 4u <br /> U fX W6 I105 <br /> Aw- 6 3 1 <br /> . � � , , � t 4y is ixl I� •rte ! <br /> 1a4 <br /> ; <br /> k i ; L ti 1r � r , t <br /> /HW• <br /> 4AV- T- <br /> Mw- 15 I X14 X <br /> 6tw- �� A 1 x Lto <br /> aYyWll ! M <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS Q <br /> Priority(24 hr) L] C3TEL Contact 61 <br /> Expedited(48 hr} ❑ Quote/Contract# <br /> 7 Business Days ❑ Confirmation# <br /> Other SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot# _ Storage Location <br /> Business Days [3P O # A <br /> OA/OC Level <br /> l Blue❑ CLP p Other❑ FAX O Work Order# <br /> ! Relinqulshe S pier Date Time Relived by <br /> 4CUSTODY �:-f -� : ro <br /> Date Time Received by i <br /> RECORD Relinquish by ilJL&a11-r y <br /> r Relln uished b Date Time deceived by Laboratory r <br /> i Q Y ? '� s <br /> i 7 Waybill# � <br />