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11111111 LINE,SUITE C CHAIN-OFCUSTODY RECORD 3 7110 <br /> IGTEL CONCaAo,CA 94620 ANDANALVW REQUEST <br /> .,.a..F.,� 1[510)0e5-7852 °O <br /> .1w.,a,n� (800)423-7143 + (< <br /> N <br /> ComparW Name: Phona 4:714373—Y9,0,0 � ❑ m <br /> h4-JI ,, ec 64 U FAX Il: lqiij 179 - ?.P/ 17 � . ❑ ❑ <br /> f�7i)any A dress' Site SLa atconCamOf c <br /> dG 0 377 sfo `T' ❑ ❑rs lr/0 tE `1�3 io�ct anagen ao0:(4)' <br /> Project a <br /> L7Pfr1 w1 src P �t� s+&Mpka O IJ D p 0 ❑ <br /> Ll <br /> I attest trial ltlre proper field sampling Sam pier Narne(Print), a ❑ El ❑ <br /> prowdures via re used during Ihs N p 0 § a ❑ a ^❑ ` <br /> colleclinnot these samples. a o6 n in a ❑ r. <br /> Mhad a lin - e a o o d ° to <br /> Matrix Preserved S ❑ o Q a p '� <br /> Field GTEE z ❑ e m LZ El G <br /> Lab# F <br /> Sample ettt Use a m Q a s ii oa <br /> u7 W W� W x _ m d Q d d d d C r d ~ <br /> aril a a o 3 ¢ 7 i; � I Be g 1 w w w u�i � uei u � G tai <br /> m a m a 4 x x $ O n m m 5C X t7 w u�i LA w uA] u► <br /> opo. <br /> 4. <br /> 16 01 <br /> .i' <br /> TAT Spacial Hardling SPECIAL DETECTION LIMITS RENIARI(S: <br /> Pdarllq{24 hJ i GTEL COiltwl <br /> Expedited I4I9 hr) t_' auotelCanlracl N <br /> x Bus n9sa t) G'nBrmeilpn R <br /> Other SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot dl: Storage Location <br /> 5usnessoaps Cl P.D.N <br /> QAfOC WON <br /> Blue!: CLP:.' Other r; FAX❑ Work rJrder#: <br /> Relinquished brySampter t Time -Race"are by: <br /> r <br /> CUSTODY f <br /> flelinquished Y e Time flecely by: <br /> RECORD <br /> 2- <br /> �3 <br /> Relinquished by I 0to Time Received by LabarataV: <br /> h YQ4 "1t <br />