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4080 PIKE LANE, SUITE c HAIN-OF-CUSTODY RECORD -932527 <br /> -�-- • CONCORD, CA 94520 AND ANALYSIS REQUEST <br /> (510) 685-78528Qp 423-7143 <br /> NGTEL <br /> 1�IOI170�111 IAC <br /> Company Name f Phone# 5(0) G-71- ;?,J7 p <br /> f Wcz Cr TecVf lho1FAX �IO 6�s� yf ❑ ❑to <br /> _ ❑ <br /> Company Address goS7 Porgy CA;rap f it ovation a � mo%} (�!<„ E] ❑ <br /> / ❑ ❑ ❑ "m <br /> Comor d mu+� ru m to L � ❑ o ❑ <br /> Client <br /> Psrojexct ID <br /> �iK O_ ✓O i °❑ m�' a a $ N op Ow N❑F. U< <br /> NProject Manager ��a C603 z oaC ❑ C] ❑ ❑ z dc ❑ poN�d <br /> co <br /> f ❑¢ <br /> NAM 1` mt 11 N a. <br /> ' p o O I attest that the proper geld sampling Sampler Name(Pant) °�procedures were used during the C14 pa <br /> collection of these samples � n U a ❑ Ch <br /> 0. 0 - <br /> Method o co W <br /> Sampling ❑ LLMatrix = r 3- <br /> preserved baFieId GTEL g El o a 2 <br /> i--- <br /> XaLab#Sam le <br /> � w � �ID ab Use SO ❑ � ¢ ¢� w w ❑ a W0only y w w w w <br /> Oa <br /> Orly. <br /> e <br /> c� <br /> � �w l0 17R> <br /> ,x <br /> FAM <br /> � � yi� ' `.' ��iY•' m v� ,� `f`& s� P� n . Pa �,c „t, is 9 s',� �r a»R3.� *�7'a. k <br /> wa <br /> M- 3r"r. <br /> y� yF• <br /> 4 � .�} «L4R <br /> a ti <br /> rz 8 ea.e <br /> }� a <br /> �rx r ..v x e, � } <br /> °f�- ��,.1111-r w R° r 'p t � a a s <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS 5 ict o <br /> 33 <br /> Priority(24 hr) ❑ GTEL Contact ?!ril��Jh ���/<, a �i�'^ (, C �pt .5tiY5 <br /> Expedited(48 hr) ❑ Quote/contract# <br /> 7 business Days ❑ Confirmation# <br /> OI riS�bL�uc ,� SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot# Storage Location <br /> Business Days ❑ PO # <br /> t QAIQC Levelrr <br /> Blue❑ CLP❑ Other❑ FAX❑ t Work Order# �U�1 l <br /> Relinquished by Sampler Dae Time Received by <br /> CUSTODY Relinquished by Date Time Received by <br /> RECORD! <br /> Relinquished by Date Time Received by Laboratory <br /> ` 1nFLSl�1 It�:32 Wa bill# 5p1I <br />