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NGTEL 4080 Pike Lane C AIN-OF-CUSTODY RECORD CUSTODY RECORD <br /> 7�_ 1 J 2 <br /> Concord, CA 94520 800 544-3422(In CA) AND ANALYSIS REQUEST C <br /> i4s <br /> �SO A/Oa r!N INC 415 685-7852 800-423-7143{Outside CA} ANALYSIS REQUEST <br /> Pro) ct Maripger f ! j Phone# '❑ ❑ 0 ❑ <br /> cl <br /> — r f 6 ' /V FAX# �— Q1 0° w -S 0 <br /> Ad rasa Site location U')El 13 _J <br /> -- 12 8 W N °° r o N z 0 O d <br /> Project Number 77 nil Project Name ) 2 N D v a m + N ❑ Elo a <br /> ^Q ❑ v to V z z <br /> I attest that the proper field sampling Sampler Name(Print) ❑ <br /> procedures were used during the collectionR + ❑ "' a 0 ❑ a o <br /> of these samples e/Q/ov o a ❑ ❑ poll] ❑ N 0 <br /> Field Source GTEL ' Matrix Method Sampling ❑ `� E - c w <br /> E w ❑ <br /> Sample of tab# z Preserved P ❑ ❑ o ❑ <br /> ID Sample N = � � «� ❑ ❑ ❑ <br /> ( buse a <br /> w m a <br /> *- N O Q � Y 41 Y7 <br /> [7 Q • W h O O N N . 4! <br /> Doty) ZO O w 0 Z w W a a O - w w ro m 0 IL a ❑ p > <br /> = m W g u z :? a a a a a a a m m m <br /> 3vC, avio x = Uz0 o F m L o a a n. a a W a W U a s c°a cc ex a <br /> CL a w w w w w w w r- w v m <br /> Qd3 ( o <br /> KOT <br /> a� m <br /> 0 <br /> 4 4 <br /> SPECIAL HANDLING SPECIAL DETECTION LIMITS(Specify} REMARKS (fv- <br /> 24 HOURS ❑ <br /> �'�6 Q) E <br /> EXPEDITED 48 Hours ❑ !� <br /> SEVEN DAY ❑ <br /> rcaca: <br /> OTHER (#) BUSINESS DAYS3��r 72..QA/QC CLP Level ❑ Blue Level ❑ SPECIAL REPORTING REQ IREMENTS Lab Use Only Storage Location FAX ❑ (Specily) f 1'N�d c <br /> J' Lot# Work Order# <br />