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w M <br /> 4080 PIKE LANE,SUITE C RIN-OF-CUSTODY RECORD T1259 <br /> GTEL CONCORD, CA 94520 ANO ANAL YSIS REQUEST <br /> Nsta 685-7852 <br /> ,: O)423-7143 <br /> rCompany Name Phone # Y-vf g 3 1 -r 00 I I <br /> rC,�ca.oR�>ti e,,�F{` f=AX #f g w U <br /> Site Locatlo / m I I <br /> .7SP YAddress <br /> ,+,�� Si.�rTe 311 Sews S� '�k-rc s <br /> N R <br /> �Lp V C tf <br /> //� �f + c p if N a aL IJ <br /> l k k �/ U rt 1.� ' '^ <br /> Client Pro eck! (0) N <br /> Protect Manager 1 - W N z o " <br /> o i? �, w o v r m y f J <br /> u n 1 I I [ L IT <br /> Sam le Name(Pont) l'YlC °- n 1 o m I Ll a <br /> k attest Ihat the proper field sampling i? P E F �r, T F n <br /> CL <br /> procedures ware used during the 3 o n u' I C. y a v 4 li a r i`i r G <br /> collectioncf these samples +- « 2 u a� �., v '^ m A m i a o <br /> r� Method Sampling n e ° w L I W a c o _I I I N I I a- "' 1-1 t� <br /> Matrix Preserved II <br /> z l i w r]l cv n� Q m N r A M N <br /> Field 4 GTEL w - _ ° t a II a - 1 v �, _J <br /> z i- N n A2 ° o yr a m to r7 u y <br /> Sample O Lab# a a w�� a [t <br /> pG '. n In 49 #D to m to 4 a V <br /> p � C7 in w I T ,mow 11.x w w x v ° m m d d d 4 Q d d <br /> ID (Lab Use •o o a3 x- >- w w <br /> VI O r 7 4 x rn w c r- a, a o 0. a IL <br /> w a a d a a - 1u Cal m U s <br /> I only l 0 a n a d Y i i 7� Bea m z = p F w w w ts1 w w w U. w ►- _ <br /> 1 <br /> k <br /> EEO) !'�..7...—o aF�� <br /> I <br /> H� LW <br /> ' <br /> 4 } I _ .23 <br /> I I { F' <br /> 777 <br /> ib: 1 �� <br /> �F7 _ ,{ • 1 Y �� <br /> 11 0(o 06 <br /> { I r 1T�{��'1 <br /> �� 1 I, t i 5 _' TI rel it t 1 _ iS C' ,S 1 f fl: <br /> � — I <br /> �_JO � r O <br /> 3 10 Wo <br /> J <br /> SPECIAL DETECTION LIMITS REMARKS 1 „(T ur ! To <br /> o�,,,JI 1�ot"', <br /> TAT Special Handling wf YZ <br /> Pnorlty(2A hr, GCcnlDct <br /> E <br /> Expediied(4B hr) 'Corilract#�� <br /> &rsmes7 Days Slorage Local{on <br /> tEL <br /> A Lab Use Ont y Lct 9 ; _ <br /> nCner SPECIAL REPORTING AEQk}113EfdIEI`!l'S '' <br /> Business lays ��' € — C T C ��a�4 S— P� T/9 T <br /> /I QLD � �tY>l�'"� s I <br /> QA1QC Level / (' 1q�1 Cy L1l� T <br /> Vus[] CLF❑ G[her❑ Sa ��u i �L) Wort,Order 1! `q o po 1"T _Z 1 l 7�\ f <br /> /a xw <br /> Dal Time Rece ed by F, . <br /> Fell'Inquishad <br /> ato Time ncitimhed ty Sampler, ,� / . `f�STOW by Rocervsd[)y � <br /> �aRo <br /> rlelrnquished by Dale Tuno Received by l.aborator� • <br /> �_? Waybill 1 14 <br />