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4080 MIKE LANE, SUITE C CHAIN-OF-CUSTODY RECORD <br /> r GT E L CONCOH0, CA 94520 <br /> (510)685.7852 AND ANALYSIS REQUEST 37110 <br /> *'"� °• (900)423.7143 <br /> r! Company Name: Phone b:��/L ?l� i�7oJlul 4; <br /> l7rJ+41--t ujide ec1Ait dlr FAX C: /6 7Y/ <br /> Compin Ac dress: } Site Location: �r' //]] m7 fr <br /> }yrs 9i/e Lip/n 1.1 Rc�, a <br /> 43 <br /> I, STack 1. C_ r cn r� ll I_I m <br /> Project Manager: 3 C3 rn �' a ❑ [� <br /> 1 g Client Project ID;(N) � �. .N e J Cl <br /> Brie".-'k Get-r6c.r- X070 ��33 6��y n o is L� y o N <br /> I allest Ihal the proper field sampling Sampler Name(Print): n sn Y ❑ T z ❑ i <br /> p I ) a g n n N E t.l o a <br /> pracoduros were used during the N o ,� [_1 ,n ❑ o _j -9 w �, CI <br /> colleclion-al these sarn les:.._.-_. :_ .Yom . _L). �. _Vit..;o _m a �_ rn ? v <br /> �rk! C �. �. .o _N N U.... .. H ,L7 <br /> (41 Matrix Method Sampling [N a m m o n a �� 8 <br /> Field GTEL w — Preserved A 9 n [3 C 7 m n a N [] <br /> Sample Lab i# ¢ w N t? x n C� ❑ q <br /> o m m a s <br /> !d Lab Use O p d w d w Cc ur ur PC `n o N °° o XO CD <br /> iv <br /> 1 only ! 3 uQi a v'i a � z r- ru ` W m a a ` F u� a n <br /> u. a F F a a a a s a a a a a <br /> o x x x" _ � 0_ n m m x x o r ur w w w w w ru w w w cal o u° <br /> 1177 — <br /> 193-06Zat 06 <br /> (, Q 2- <br /> `!!i!-g..Canr1,� <br /> Lgil 05 <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS: <br /> PAo(iiy(24 hr) 1.1 GTEL Contact <br /> Expedited{4a hr) I.I Ouole/Conlracl 0 <br /> 7 business Da s 1-1 Coniirmallon M <br /> Busing s Oays [ t, SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot N: <br /> business Days I 1 I'•O�H — _.._._.� Y Storage Location <br /> QA/QG Leve! S oC <br /> blue t t CLP I) Omer 1.1 _ FAX❑ Work Order N; <br /> Relinquished by Sampler at Time Receive by: <br /> CUSTODY r ` li <br /> RECORD Relinquished �)QL" <br /> to Time Receive by: <br /> Cl.r rl 2- <br /> � <br /> Relinquished by; IDale Time Received by Laboralory: <br /> Wa bill q <br />