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V 480 PIKE CANE, sU1TE c � �' CNAI�-�F-CUSTQDY REC014D ''��.2 5 <br /> �J <br /> .G r i 'CONCORD, 52 94520 , AND ANALYSIS REQUEST <br /> � �»,��a».•�.r.i (510 685-7852 <br /> wee useurau•+.r»c (600 423-7143 <br /> Company Name: Phone#• 4/) a o 3 <br /> �f <br /> / .�3 fl I I <br /> Gtatx.�u.�ler !r�Gl�""Xu y �4.4F'AX ff: n J J � " p S-( I u <br /> I;o panyAddress. Site Location: SEa� s ST�k"]an CA m ( _ t' <br /> C 7:S,6'.Sort. 7'c r,n pl,� rs..,Te } 1 rT� 1 �,/ 1 <br /> Ste! La k G7L fit ��, h' '�llt �I l <br /> Project Manager: Client ProI'lact I© (#) � � u a �I ILI <br /> f1�"P.H 1 6 I-' ori Uj y y m al N <br /> e"4-em. �R.1. IL y N M �' o v v <br /> I attest ilial tho proper Cord sampling: Sampler blame(P(nt): ° r. <br /> CL <br /> procedures were used during Ilia <br /> t1> no : rn � I=ir1J <br /> Ucogmtlonof mesa Sam tes• o <br /> iri i 1 4 rrt <br /> LiIL2 <br /> Method o o o °Y o' a s tv <br /> �; " <br /> v, Matrix Sampling N <br /> d Preserved m � a m � �' a a � LI I I m � �' <br /> Field GTEL to _ n m .a. _.I W lu m r m 'l • a <br /> Sample Lab# a n t= <br /> I- CX <br /> cc �-. r,�cc.. '° 43 !g v ¢ u �' <br /> IQ �LBb Use) w I p ra In iru-Ivw w x 25 a r. — n `8 co +rl m O r e 04 '� <br /> only u ¢ _ a v z w a� r ur w 0 x' m a a d a a c a m Ln tp <br /> U A„ a F �+ a+ a a 4 n Q a n. n n. R F u4i � J � "u <br /> �' ¢ rn 4 O z z __ ,:, o., 1=• rn .z .7 Q H Iu ul w -Tu w w w Iu w - <br /> ILI <br /> E <br /> f's i i <br /> O -Z — <br /> �. I <br /> �•i T: <br /> - .t'. 3: <br /> iir °.ki 'EEi _7i <br /> i fi,' `li .i. ':I! .1 -1. `•r.• .f. <br /> �, rf -R <br /> .t: !r i�. �6 'fir,., "'l, �' - ! )7 '.I t•' <br /> 1 <br /> -,I {,- "i.t':jrP-.3;i_' -t1�'�:hj �: .>'.-s'. F. �:'ff�Sl,'i4:•` - _ 4 - - -a <br /> :�'' :i' t•'i•,Ili' 1 . e. r• rr � .}-' r ..:i 1' ,., SN. t :r.' <br /> yir,l.r I„ at�'•1't4'j 'c :( �: .. di5 it'pi..: .i'=` ' tu,'' ..Ii:'+•.i>: �: -:f a , - r: 1 ;• si y' �.r]i <br /> '!.N E..'! ;,. I ' "s. `�- ::• i ..�I .: !li `� I a ! : f'l : '•}t:.kt: <br /> 1 SPECIAL.,DFTECTION LWITS REMARKS: <br /> — 1fA7 Special Handling <br /> niority(24hr) ❑ GTELContact - TATu- <br /> '- � F�Rs3s1148Itt) ❑ QuotefCantract 4 �_:.._- <br /> 7 " ❑ Conrirmatlon it <br /> t7Ther p p h SPECIAL REPORTING REQUIREVENITS - Lab Use Only Lot k: S! race Location <br /> Hvsarrass Days ' ❑ <br /> _.._.: •- ` Lr - Eif <br /> e CCf Of19 5 - <br /> 4wtc Re,e1 . <br /> ale r � P� Other FAx Wo'k Order A: Cy O,POq� — ZP C4 �SHr T� <br /> T <br /> RaliNvished <br /> by Sampler:,/ )ate Time Rcoeived by: <br /> STODY <br /> 9% SoRnquished by: natP. Timis Rec Ived try: <br /> !.l Re5rtgjished by: Dain Time Received by L:iWi Its , <br /> -!Z_gLi 17;c7U <br /> Aybill rt 2, <br />