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4080 PIKE LANE, SUITE C CHAIN-OF-CUSTODY 1 ET <br /> QR� 4 4 <br /> GTEL CONCORD, CA 94520 AND ANALYSIS S QU S <br /> ENVIRONN <br /> METAL (510) 685-7852 ' 'r. '�SR..r W <br /> - N110PATORIES INC (800) 423-7143 J 1 <br /> I ompany Name Phone# 6-11-' 3 2 .7 <br /> T { 5tv� <br /> �rpuv�d Qr 1�[ ^V�pLCjc FAX# ❑ ❑ <br /> ompany Address Site location Odd` m 0 _ ¢ ❑ <br /> I 1� C } CCm�eu�) z k� Cf4• ❑ ❑ ❑ CZ <br /> OS j <br /> C) <br /> ❑ <br /> r ect Manager Client Project ID (#) ❑ 3 + + � C] -7 ° <br /> UZQ �Ut�l W ❑ U) N -' a <br /> NAME co - m ❑ El ❑ 0 z z z❑ o ❑ © o� <br /> attest that the proper field samplin Sampler Name(Print) (1..� r �.,/ S 9 0 a `o ❑ ❑ Q) E = p N ❑ <br /> ,ocedures were used during the collection I # y zs © m <br /> f these samples o v �? ❑ a No a o no ° o m ❑ fL <br /> L <br /> N C\j cm <br /> n d ¢ ❑ !+ N <br /> Methodco to 0 <br /> y Matrix Sampling m a ❑ o w o ❑ ❑ a " C%I$ ❑ LL <br /> �, Preserved y y ❑ w ur m m n <br /> Field GTEL s _ a 0 0 ❑ a Iu N ❑ ❑ <br /> Sample Lab # � ill 8- c' a e �; ❑ a o v a ° � 15 <br /> a <br /> ID {Lab use only) o o W o ,�, `°° W o a N o <br /> 0 ¢ � � z �' a s *r �° z m a a- a a a a a CL a < rn Vp <br /> n T — a o a a a a a a n a U a ¢ <br /> 3 m Q w a o x x v oN o F m m x x 0 i— w Lu w w w Lu Lu ill uu H w 0 -A p U <br /> f- /0 <br /> I <br /> i r r d <br /> i <br /> Sr r <br /> n <br /> 3 <br /> TAT Special Handling SPEoCIIA�LDDETECTION <br /> '1LIMITS REMARKS �{�j��.�i-��3 <br /> 'nonty(24 hr) ❑ GTEL Contact Y 1 e4�_ F _ lm"+ N� P "" "" <br /> =xpedited(4(3 hr) ❑ Quote/Contract# pl i t �-� <br /> 'Business Days ❑ Confirmation# (lam' <br /> ]cher PO# SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot# Storage Location <br /> 3usiness Das ❑ <br /> QA/QC LEVEL <br /> 3LUE❑ CLP❑ OTHER FAX❑ Work Order# <br /> Relinquished by Sampler Date Time Received by <br /> OV <br /> 1:f3 1A <br /> CUSTODY Relinquished by Date Time Received by <br /> RECORD Relinquished by Date Time Re96910 <br /> 'by Laboratory <br /> c <br /> .3 I� <br /> sv 7ai . r..i.. .ii �� E..rr a■r # ttlitititittt>1 itlititititttl <br />