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r.Mmao �LAIC m m m m JCHAWF-dlW0D=C0MlllllllMh <br /> CONCORD, CA 94520 AND ANALYSIS REQUEST 4TI <br /> (0.) 885.7862 MVM <br /> YAICRA10�1i"INC 800 423-7143 (OUTSIDE CA) (800) 544-3422 (INSIDE At <br /> CA) <br />,pnny wi-ne Phone N` <br /> r ' 13 <br /> FAX N ❑ ° ❑ <br />'pl ny Address Site location: 91Jd r, ro ❑ ❑ o ❑ o s ❑ <br /> o�,�e � ❑ � � rEi � ❑ <br /> act Manager <br /> Client Protect ID ( ) p7,p3%Z/ + + ❑ <br /> rNAME c' ❑ ❑ ❑ ❑ z ❑ p n a`� <br /> B-.I that the proper 1161d sampling Sampler Name(Prl t) ❑ <br /> nduies were used during the collection c '� ❑ ❑ ❑ m 0 4 o <br /> in ❑ E3lase samples /MDIZ ❑ o _, 53 0 R ❑ ❑ <br /> Me hod —' m S ❑ o ❑ <br /> Matrix Preserved Sampling ❑ c ❑ ❑ ❑ ❑ <br /> Field GTEL ❑ _ . W ❑ ❑ W -J ❑ ❑ <br /> Sample Lab Al w � � � .. ❑ ❑ ❑ o N � �J <br /> ID (Lab use only) Q <br /> 10L I ? 9J a 1ItOR <br /> .— <br /> Mid— // <br /> AL <br /> �rIq <br /> r,. - <br /> I <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS <br /> nliyi24 hr? ❑ OTEL Contact ✓ <br /> redlled(49 hr) ❑ Quote/Contrecl N <br /> yWnsss Nye ❑ Confirmation f <br /> PON SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot Storage Location <br /> 111659 Days <br /> OA I OC LEVEL <br /> A❑ CLP❑ OTHER FAX[] Work Order N <br /> Relinquished by S mpler, Date Time Received by <br /> USTODY Relinqulehs Date Time Received by <br /> ECORD Relinquished by' Date Time Rece ed 6 Labor tory'4 <br /> I/ -?AT`b <br /> 1;91 Waybill <br />