Laserfiche WebLink
4060-Pike Lane CHAIN-OFCUSIUu i RECORD CUSTODY RE <br /> IGTEL Concord.CA 94520 600-544-3422(in CA) AND ANALYSIS REQUEST l L- 13 3 0 6 <br /> 685.7852 600-423-7143(Outside CW REQUEST <br /> �I CASONAaoi Es"IMS 416- ANALYSIS REG <br /> Prol t Manager Phone O [3w ❑ d <br /> UJ v ❑ <br /> FAX , <br /> Add ss: Site location. ❑ ❑ ❑ Lb T3 <br /> p ❑ o ❑ ❑ y 2 <br /> —, w 1 ❑ — 2� ,n In = a X O <br /> N m C 13 <br /> rolect Number Project ame ❑ ° ❑ E ❑ o v Q- <br /> E3 <br /> z z - Is a 6 n O ° <br /> i attest that the proper Field sampling Sampler Name(Prinq £ ❑ v ° <br /> procedures were used during the collection o o v p ❑ ❑ ❑ p ❑ ❑ m D o <br /> of these samples. 1 LC ❑ p o N q o g h ❑ ❑ " <br /> Field Source GTEL Q Matrix Method Samplin o M N N ❑ a - <br /> i° o ao m co ao m ❑ ,� S, S, �• <br /> Sample of La z Preserved ❑ a � � ❑ ❑ �❑qn ❑ ❑ m � J M ' <br /> i !D Semple ( only! `z Lab U" M <br /> ¢ wu°Ci w m 300. � � 3aomC4)4 � � $ ' '- '- <br /> � _ S N W z w a s a c s a <br /> itQ fA O S Z Z V 2 0 F � W sail W W W W W F W U U m N <br /> Q c Cr <br /> I <br /> W� E E <br /> t � � <br /> 14S <br /> e L <br /> LyI <br /> t <br /> SPECIAL HANDLING SPECIAL DETECTION Lt ITS(Specify) REMARKS m <br /> a <br /> 24 HOURS❑ E <br /> EXPEDITED 48 Hours ❑ D 4 <br /> SEVEN DAY ❑ <br /> = L L <br /> OTHER----(*) BUSINESS DAYS L <br /> + <br /> 0A10C CLP Ltfrel 0 Blue Level O SPECIAL REOWTING REQUIR ENTS Lab Use Only Storage Location Cr c Cr <br /> FAX❑ (Specify) _ _ _ <br /> Lot*, Work Ordsr 6 m m <br /> o: Cr <br /> 1imam M M mi )lam 1• I� t� <br />