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4000 PIKE LANE, SUI I E C CHAIN-OF-CUSTODY RECORD <br /> RGTEL CONCOFID. CA 9452.0(510) 605.7852 -��'� " �,0AND ANALYSIS REQUEST 371Z6 <br /> (800) 423-7143 I i ' <br /> THER <br /> CompanY N�arne:: [f Phone fl:,l1/Cy).��_ t/-/.0 O <br /> rT p�Gl-l-V-t\'1�i„�. wry � (t Lac, 1 l ``_// ❑ <br /> r FAX Il: /'Im'l. -P-7rl _ L3 <br /> (;0111pally Ad(Irrls. I Shoe Location: ��' Ic p <br /> <<!�'► r)r�, f.,,r, rr� l�tir ti� T, JLCo w u ❑ ¢ o <br /> hoje(A Manager: caaa.7p U <br /> Client ' 1ecl ID: © O <br /> I.1 p rn ❑ h O 0 f- n <br /> tel- Gcr..��P1' < <br /> t__� ► �o SD ]� ro 1 ❑ ❑ ❑ z z > ❑ os <br /> I auesl that lhr.proErr find slmpling Sampler Mame(Print : k2 p ❑ to ” ❑ p N '� ❑ ❑ <br /> g N A Cl d ❑ ❑ ❑ ❑ M a a 01 ; u R (� <br /> ltuuedures weir,used durin the <br /> 1- _ 3 <br /> collrclion of Ihesc samples. V Lk eC_ S p cn L� a a a 3 ❑ ❑ a <br /> Method L] N to a w ❑ ❑ a. 0 U <br /> in Matrix Saliipling e n 0 o- a 0 ( o ❑ > <br /> Field GTEL W Preserved a n L7 w w . v a N ❑ ° ❑ " ; <br /> ILI <br /> __ .__—. <br /> Ll <br /> = m a N <br /> Sample kah..� ? W U p - '" "`� N :$ _ ❑ _. <br /> �'3 r- ❑ a----•a <br /> ID Lab Use Q F C p O w a wp tL rL Ytl X X � � c ¢ a � '� � m rP O <br /> Oil ly 1 U < o 7r ¢ (_- U Uz lu r- ru w a� m Q Q C ¢ Q 4 Q r J Q R W <br /> -------_-- - ---•--- " 3 v1 Q' rn n 4 Y I 11 �n O_ O F m, _ ~rn Y i a 1- w w w w w w w w w w V J 4 $ <br /> `1'Iwl js3 - — -- — ---- <br /> U` <br /> U <br /> f - — — — — -- - -- <br /> fit <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS: <br /> Pnndly 12.1111) JEL Contact <br /> F p�rburd¢irl r„) OuolclCOnlracL N . <br /> r 11,IS,nf;551)a S p. <br /> nut,nras pays, P O u - - ----_------,---___._-- SPECIAL REPORTING AEQUIvEMENTS Lab U�se Only Lot!f: Storage.Location . <br /> QA/QC Level i C SO 9.0 3 2- <br /> 10110. CL Ili : 01110,: i ..-.....---------_-- FAX EI Work Order M: <br /> Belinquished by Sampler. ;`r% Date .Time Received <br /> CUSTODY * 93-7 <br /> RECORD 11rlrnqulshedby: Dal Time Ree vedby: <br /> )-q 5 /6:” <br /> fa, ` 1._ _ <br /> Belsilgriished by. Dal Time Received by Labor tory: / ----- <br /> 1 <br /> Waybill 9 <br />