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1060M Lfflr a - CHAIN-OF-CUS OD Y RECORD <br /> CONCORD. CA 84520 AND ANALYSIS REQUEST 19 411 <br /> IXvIII o1MMIMrfl415 685-7652 <br /> `"00'"10e110 IMc 800 423-7143 OUTSIDE CA 800 544.3422 INSIDE CA <br />,hany Name Phone I, <br /> r/ FAX N ❑ 0 ❑ <br /> peny Address Site location. 9//D C w ° <br /> Ti. S'�ack ❑ 13 13 ° 130 ❑ ❑ <br /> ct Manager Client Project ID (N) ❑ # 0 ❑ ° s <br /> 024301eZ// <br /> NAME S Pio ❑ o ❑ ❑ o o <br /> �the thats�flefmpling Sampler Name(Prl t) j ❑ s;, <br /> adures were used during the collection , !2 ° ° ❑ <br /> ose samples P.c C /rid ❑ o y ❑ N o❑ © ❑ r• 4 <br /> t WEMe od13 g ❑ o ❑ <br /> Matrix P eserved Sampling S �'�, a a o v w a a ❑ o ❑ <br /> Field GTEL ❑ ❑ ❑ Q <br /> SampleILab # � � w o " � � A - ❑ ❑ ❑ � � o � Cl 's <br /> (Lab use only) � 0 .. o w � � � � � �l � o '� � <br /> _ 3 � u��iao x v oho z <br /> r <br /> �r rVIT <br /> 13 <br /> i <br /> fltm <br /> r Y <br /> 1 91 <br /> 1Al r <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS <br /> Ily(24 hr) ❑ GTEL Contact <br /> dlled(48 hrl ❑ UuoisfContract I <br /> elne00 Days ❑ Conlirmatlon I <br /> iI ❑ PQ I SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot I Storage Location <br /> noes Da a <br /> QA I OC LEVEL <br /> E❑ CLP❑ OTHER FAX❑ <br /> Relinquished by Sampler: Work Order 0 <br /> Date Time Received by <br /> S��''rTODY lin he y Date Time Received by <br /> E V V R❑ Relinquished by. Date Time Recei dy eborao <br />