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mbWin O <br /> 4U1 kl= 111111111111116 IIIIIIIIIN I• JW-OMS 1AFREJM <br /> CONCORD, CA 94520 if, AND ANALYSIS REQUEST 21 4 <br /> (416) 685-7852 <br /> "AlO 0111 ei"iNc 800 423.7143 (OUTSIDE CA) (800) 544-3422 (INSIDE CA) r 1 <br /> omp y <br /> No a Phone M: <br /> FAX N' ❑ � � ❑ <br /> ampany Address Site localio ',lam W <br /> �(J IrVO r. 11 13 13 ❑ 11 <br /> ❑ ❑ <br /> ❑ ❑ S <br /> of ect onager Client Project ID' (N) 20 I-H 0 V ❑ <br /> (NAMESam <br /> 4 p ❑ ❑ ❑ ❑ `i `i 0 > ❑ ❑ <br /> arrest that the proper field sampling Sampl Name(Pri t) E3 ❑ <br />)rocedures were used during the collection 0 ❑ ❑ ❑ ❑ <br /> I a 'Z� ❑ o cn _ o ❑ c <br /> A these sam e a <br /> O _ ❑ 0 a ❑ FI- <br /> method <br /> �£5i y C a� aaa000 o� ��dd <br /> r Matrix Preserved Sampling o o w ❑ ❑ 8 ❑ ❑ o ❑ <br /> Field GTEL = G ❑ a a ❑ <br /> Sample Lab # w � � 9 � � $ � i i <br /> o x <br /> ID (Lab use0llly) 15 .� � _ a w a <br /> 3CC <br /> U)i a O i z x �? d F in i b I- u9 l'i3 fir w Iii u°j u°13 °ul �il ua} <br />- s <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS <br /> FIrtorlty 124 hr} ❑ GTEL Contact <br /> Fxpedlled 148 hr) ❑ QuotelConlract It <br /> 7 Business Oeye ❑ Contlrmatlon I <br /> Olher <br /> PO SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot N Storage Location <br /> Buelneee Das ❑ <br /> UA I OC LEVEL <br /> BLUE❑ CLP❑ OT ER FAX❑ Work Order R <br /> R qu hod by Sampler, ale Ttme Received by <br /> � u,hea Oats time Received by <br /> CUSTODY � <br /> RECORD Relinquished by. Date Tlme Recy by or o <br /> ' +, Waybill 0 <br /> iw 7fe1 - — --- -- <br />