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LIOIIIIP� � � � W M M M = M = Me = M <br /> 4080 Pike Lane <br /> CHAIN-OF-CUSTODY RECORD nn <br /> •' 15439 <br /> ' L �LCUSTODY RECORD <br /> GTE Concord CA 94520 800-544-3422(In CA) AND ANALYSIS REQUEST <br /> = 415-685-7852 800-423-7143(Outside CA) ANALYSIS REQUEST <br /> lJvlOvlfS IIIC <br /> Protect Manager Phone# w ❑ w ❑ <br /> I . <br /> J/' �h —--FAX# - —_ --- M o m ❑ <br /> Address ` Site location �13 0 U ❑ <br /> LU 13 <br /> V `y'- 61 N q�p ti N CO C p N 0 � *� <br /> Project Number Project Name r ib "' e a m y y ❑ o a ¢ `�° (3 <br /> e��y� 0 ❑ <br /> oa3. ,Sr�� �lro_t� _ # ❑ o a z z q ❑ 3 <br /> I attest that the proper field sampling S13 <br /> am er Name(Print) us q 13 <br /> procedures were used during the collection (1 ❑ 0 m y a s L m <br /> of these samples 641 N N ° U _ ❑ ❑ n ❑ ❑ ❑ 0 ; ° o <br /> Field Source GTEL Matrix Method Sampling m �, 9 m ; o 0 o M N N n a c4 ° <br /> Sample of Lab# z Preserved ❑ 0 a ° � o d d p o o a m B � ° °° ❑ � � � � <br /> ID Sample 1Lab use w d o ❑ �. `� �, N o a In m = R m Z <br /> only) Q J a W O O Z 2 ID w W 3 a m m m m D a e 1. Cf <br /> a a a a a a � a a o u c <br /> cc <br /> Q aOa � � V z N Upf- ¢ w d $ o o a a a a a a ~a v a <br /> # 3rnarno = x _ z0 0 }- m a w w w w w w w w � U U �m <br /> Mme -2. <br /> D ___ _ E E <br /> _ I: � EME <br /> H= � f= 4 <br /> SPECIAL HANDLING SPECIAL DETECTION LIMITS(Specify) REMARKS - <br /> 24 HOURS Cl <br /> EXPEDITED 48 Hours ❑ <br /> SEVEN DAY ❑ <br /> OTHER (#) BUSINESS DAYS <br /> QA/QC CLP Level ❑ Blue Level ❑ SPECIAL REPORTING REQUIREMENTS Lob Use Only Storage Location 5 <br /> FAX❑ <br /> (Specify) <br /> c c <br /> Lot#• Work Order#• �, �, <br /> I <br />