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CHAIN-OF-CUSTODY RECORD CUSTODY RECORD <br /> NGTEL 4080-Pike Lane AND ANALYSIS REQUEST 72- 5757 <br /> Concord,CA 94520 800-544-3422(In CA) <br /> t� E NV O N IA SN INC 415-685-7852 800-423-7143(Outside CA) ANALYSIS REQUEST <br /> AdPhone#: ❑ ❑ ❑Project Mana 8w w <br /> 14 p ❑ <br /> ( -- <br /> ca#: o U)r _J <br /> ❑5 <br /> dress Site location: ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ 2 ❑ 0 U <br /> ycc <br /> GUl� c�.v flee m ° m o <br /> U <br /> Project Number. Project Name: r N ;, ❑ H c m m ❑ •E ❑ ° 3 t <br /> I attest that the proper field sampling Sampler Name(Print): N ❑ 0) L ° <br /> procedures were used during the collection ,J� o m i3 '� v a ❑ ❑ ❑ ❑ ❑ ❑ a O o w c o ` <br /> ' of these samples. 51,07--1 �C(_ 5 �""� N o ❑ w x <br /> - p N 0 0 0 0 0 0 ❑ a � <br /> Field Source GTEL o Matrix Method Sampling H o 0 o '0 N y ❑ a ° <br /> Cd m y m m m as co (0 m e ❑ � 51 >. o <br /> Sample of Lab# Z Preserved ❑ c� a o o ❑ ❑ n ❑ ❑ 0 a (a _ � .0 `.�. <br /> ID Sample �- <br /> p (Lab use < w Q ¢ 0 � °' 4 0 0 N N X o m y `i <br /> y) Cl m w w m O a ro �n �o w co m p a a <br /> only) z <br /> O w J p w O O z x w w tu x v m m a a a a a a w a aW <br /> U a Cr F U z U 0 a r r a ° o o a a a w a a a U a a o m y <br /> # 3 cn a cA O x � x — z 0 ❑ m oo F a r w w w w w w w r- w U UCr <br /> ,1 <br /> SPECIAL HANDLING SPECIAL DETECTION LIMITS(Specify) REMARKS: <br /> 24 HOURS 0 <br /> EXPEDITED 48 Hours ❑ <br /> SEVEN DAY ❑ <br /> N L• � 41 <br /> OTHER (#) BUSINESS DAYS <br /> OA/QC CLP Level ❑ Blue Level Cl SPECIAL REPORTING REQUIREMENTS Lab Use Only Storage Location ° N ' <br /> ,j Q a <br /> c c <br /> �. FAX❑ (Specify) Lot#: Work Order#: - <br /> ¢ ¢ ac <br /> •f: <br /> w <br />