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�tz:dU� t_AMMPIaul <br /> CONCORD, CA 94520 D YS QU <br /> 510) 685-7852 <br /> i <br /> PHI YI*ONhtiNtA! <br /> 7• I,AioitAro111tii, INC #8001) 423.7143 <br /> Company Name Phone K <br /> FAX N ❑ M �, ❑ ❑ <br /> Company Ad resa Site location Lu <br /> Ckb <br /> Project Manager: Client Project ID (#)0-203012-t l w S 2 „*, ± d <br /> L NAME 1 ❑ ❑ z z ° <br /> 1 attest that tho proper field samplk Q Sampler Name(Print) ; a ❑ o © ❑ 0 ° ❑ ❑ <br /> procedurpe were uae4 during the oollectlon �eLAM4L 9 a [ ❑ ❑ 0 <br /> ° � _ °of these eam ee` ' ❑ o �' n. R � � � � � ❑ ° <br /> N ti e " ? Vm $ ❑ se <br /> � Matrix PreseMetrved Sampling ❑ ❑ ° to ❑ ❑ 13 ° <br /> Field GTEL ❑ X G �, ❑ e ° J ❑ ❑ <br /> Sample Lab # w � N � � '" ❑ ❑ ❑ o <br /> ID Lab use only) � 9 O' � � o W � <br /> � y $ Q z z i U v F co is = s PU <br /> ^{. <br /> Tj } <br /> r <br /> IV A <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS <br /> Priority(24 hr) ❑ GTEL Contact <br /> Expedlied 146 hr) ❑ Quote/Contract N r a <br /> 7 Builness flays ❑ Conllrmatlon 0 <br /> Other PO III SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot N Storage Location <br /> Business Days ❑ <br /> OA!QC LEVEL <br /> BLUE❑ CLP❑ OT ER FAX❑ Work Order M <br /> el qui ed by Sampler pate Time Received by <br /> 2 <br /> CUSTODY ea by Dal& Time Received by <br /> RECORD Relinquished by Dale Time Received by Laboratory <br /> Rev 7191 <br /> r Waybli <br />