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TEL4080-Pike Lane N- � US Y R CUS RECORD <br /> Concord,CA 94520 800-544-3422(In CA) VANALYSIS REQUEST 72- 1529 <br /> I N N O M M I N T A L 415.885-7852 800.423-7143(Outside CA) ANALYSIS REQUEST <br /> V I <br /> Project Manager } Phone e m ❑ ❑ ❑ <br /> S 04 � N�1 S FAX e � a Ln g <br /> Address. Site location ❑ n to 3 <br /> C-0 tvWyl 6T 1 9+0 c It�orJ m $ ° 9 LL ! o n0 13 ❑ x .r r <br /> Project Number Protect Name o m r v a M o m <br /> L 11'T hor�h m ❑ (3 ZWD N C6 � 3 <br /> I attest that the proper field sampling Sampl r Na a(Print) a ❑ a o t� <br /> procedures were used during the collection L O ❑ v v, a < n <br /> of these samples H �7 r`t,����,___111 — $ ❑ = a o G o ❑ o ❑ o a D_ O LL <br /> L <br /> w r C <br /> Field Source OTEL 2 Metrix Method SamplingE b o N ❑ a <br /> sample of Lab z Preserved ❑ � o � 0000011019 ❑ 13 <br /> � J <br /> ID Semple (Lab use s w o a C, - `° m T z <br /> only) Z C7 ¢ • ul w 1° m 0 a 0 0 w40 � 2 a <br /> 0 � -+ ow 0 z � " m a a a a a a 0 a E m m m <br /> V a — ¢ c3 Z V O H a F }� a ° o o a a a o. a u <br /> 3r9i7rn0 z � _ z0 d H m a w w w w w w w F w c� v <br /> tr a M <br /> tix J-21 - <br /> re <br /> W 4 <br /> • z <br /> r <br /> N• c 1 -- <br /> Mw-IS <br /> SPECIAL HANDLING SPECIAL DETECTION LIMITS(Specify) REMARKS o4 A ' <br /> 24 HdU 8 0 <br /> EXPE �, <br /> SEVEN DA56 <br /> OTHER (#) BUSINESS DAYS <br /> Lo 9 <br /> DA/OC CLP Level O Blue Leve) ❑ SPECIAL REPORTING REOUIREMENTS Lab Use Only Storage Location 2 or 'a <br /> FAX O (Specify) c c <br /> Lot*1 Work Order# o a <br /> cc oC x <br />