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4080 PIKE LANE, SUITE C CHAIN-OF-CUSTODY RECORD <br /> GT E L (510 685-785252 CONCORD, 94520 AND ANALYSIS REQUEST 37110 <br /> "�"°1."-1"%�' (800 423-7143 <br /> Company dame: Phone H:(y/`)3-71-11700 <br /> G!1 �} �J r <br /> r0Lt--JwuXP.t- Te-cit"11 7-/ 7 <br /> Cornpanyy Ac dress: r Sile Loc tion: m 0 a ❑ <br /> /(G-��� Dl' rw t tQ 10 9//d �cpinT-.c IGX, ❑ ❑ ❑ v 0 <br /> rT>-/cG z rn o d n u ; Q <br /> X <br /> Project Manager: Client Project 1D: (ii)' a ❑ 0 ❑ <br /> �t)� talo7a -/33 6�a y Cl o m m m © r a <br /> UI'1<C--`t �SCcr6G!' m 15 ❑ ❑C1J ❑ ❑ z z = ° ❑ `15 <br /> attest Ihal the proper field sampling Sampler Name(Print): ° ❑ in A ' ' c Cl ❑ CIE <br /> procedures were used during the Inv ❑ g m a 'C3 m a ❑ <br /> collection of these samples. �/t tc! 4C a in ❑ ❑ ❑o NO a y ❑ a° <br /> to " ai m a ❑ ❑ a a0 C ❑ A] a <br /> Method <br /> Matrix Sampling p v ❑ a a o ❑ g <br /> Field GTEL z <br /> Preserved (j T o v m ❑ ❑ w W oo p -J a N LL <br /> ab 9 <br /> only col 3 J Nw � S n w ❑ D ❑ <br /> ° maw ur H a O aSample L " % " NN� <br /> ID r Use) Ell O u? asaa !a Loa Mo O <br /> a a d- a- a w ocn a N a o x x � x 0 w w w w w w w m <br /> v <br /> 1177lkarr47wt �— 3 X olk <br /> C2 7 <br /> tt <br /> a <br /> _ <br /> 7,7 <br /> �_.CQMr11� --�05 <br /> _yo rias Q(6 /rr <br /> wl-l._.atliu- 0-7 - - — - — fi r <br /> tic�jc <br /> 00 <br /> 19 G <br /> r — <br /> 17 : 1 , 1 1 <br /> TAT Specla!Handling SPECIAL DETECTION LIMITS REMARKS: <br /> Priority(24 hr) (;l GTEL Contact fir, <br /> EMpediied(48 hi) 1-1 000le/Contrac1# <br /> 7 Business Da s 1.I Confirmation# <br /> Olhel.Business <br /> w.�hr,t I P.O.H SPECIAL.REPORTING REQUIREMENTS Lab Use Only Lot#: Storage Location <br /> Business Days I ! <br /> QA/QC Level 5 �C <br /> Blue I I CLP C! Other I..1 PAX❑ Work Order#: <br /> Relinquished by Sampler Time Receive by- <br /> CUSTODY `al � <br /> RECORD Relinquished b . �y 1 le Time Receive by: <br /> l�J 2 13 <br /> Relinquished by: Date Time Received by Laboratory: <br /> I9-5 IZ' Waybill 0 <br />