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4080 PIKE LANE, SUITE C CHAIN-OF-CUSTODY RECORD <br /> GTEL L CONCORD, CA 94520 AND ANALYSIS REQUEST 35491 <br /> o a M F ,N (510) 685-7852 <br /> goo.op E (800) 423-7143 <br /> Company Name: Phone#:�1o�1) ��5- 4j96w ❑ <br /> FAX#: ZO ❑ Ele ❑ <br /> Company Address: Site Location: m ; _ ¢ ❑ <br /> y�� � ,� ❑ ❑ <br /> _ N <br /> Ok C11 El <br /> c' ^' �° ❑ <br /> ' 3 ❑ �' N `-' a 0 ❑ <br /> Project Manager: Client Project ID: (#)12 666-10 3• ❑ ❑ -J X <br /> ❑ N U1 (n M ,1 <br /> (NAME) m o ❑ ❑ ❑ ❑ z z O ❑ a <br /> I attest at the prope ield sampling Sampler Name(Print): a ❑ o C ❑ El ❑ ❑E � a p <br /> procedures were used during the C o ca 0 2 ❑ co N ❑ ❑ co t t ❑ a n o <br /> collection of these samples. Q o 0 0 0 0 ❑ <br /> 0 a o N d v n a) ¢ a <br /> n a z• '❑ r- <br /> Method ,, ❑o U "' m ¢ i� m ❑ coNcoN ❑ l O J N ❑ `m <br /> �, Matrix Sampling g ❑ 0 w a ¢a ❑ ❑ o ❑ O a <br /> Field GTEL W Preserved o = r ❑ ❑ w w ii a N ❑ ❑ <br /> z F ° ° °D ❑ ❑ ❑ a a ❑ g m m N Q <br /> Sample Lab# ¢ LL, v o c7 v ri N co `a u� o °' d <br /> H O O O O N N X N M U <br /> ID (Lab Use) Z w p O w ww w w X c n n co cc 'c c° �° O a N o <br /> only J C) a O ¢ C U z O U z¢ � a a 0 a ¢a a a d a a a 0 a a y F o <br /> n a co a 0 = O_ o h m m = = O w w w w w w w w w H w U w O U ' <br /> Al - ( 1 X <br /> nAal!C- <br /> X <br /> 2 <br /> t <br /> I <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS: <br /> Priority(24 hr) ❑ GTEL Contact MCA+ri 5 Fe Mo.�r �UQ 1 Cu <br /> Expedited(48 hr) ❑ Quote/Contract# 6 "c r 1•.. Q AtIQC) <br /> 7 Business Days ❑ Confirmation# <br /> OtherT�Q+ <br /> Business Days El P.O.# SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot#: Storage Location <br /> QA/QC Level <br /> Blue❑ CLP❑ Other❑ FAX70 Work Order#: <br /> Rely quished by Sam ler: Date Time Received b <br /> CUSTODY - t <br /> Rellnq 'sh by: Dat Time Received b . <br /> RECORD <br /> Relinqu hed by: Date Time Received by L oratory: ✓�i� <br /> Waybill# <br />