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-- –� — _ CHAIN-OF-CUSTODYH&GURU 193 IU <br /> 4080 PIKE LANE AND ANALYSIS REQUEST f <br /> G L CONCORD, CA 94520 <br /> r15) 885-7852 INSIDE CA <br /> �NVII u MMI MT Al )tASOW0e111 INC 00 423-7143 (OUTSIDE CA) (800) 544-3422 <br /> comp"Dame Phone# ❑ <br />" FAX# ❑ $ F ❑ <br /> LU . ❑ p o <br /> Address Site I cation m r ❑ d <br /> L ❑ ❑ r N � ❑ 0 <br /> (lQer' Client Protect D (#) o Z f m m m m r a p <br /> s ` , <br /> 1- o ❑ Cl z z ❑ 1 ❑ ❑ ❑ <br /> W NAME W ❑ "` ❑ ' <br /> t a p " ❑ ❑ o ❑ ❑ v c <br /> i I fllat ilia proper field sampling Sampler ams nn) 3 cfa <br /> 2 ❑ ❑ t � N ❑ n N <br /> prp puree were used during the collection r _ 1 ❑ o ❑ a o 0 2 p m a ❑ V s <br /> o " p Q 2 <br /> t rn les N >L r CI) m Q 9 < ❑ m C . O V Q ❑ U- <br /> Method Sampiing W " o a a a ❑ WW ❑ C4 <br /> Matrix Preserved ❑ 1 © ❑ d �' � 1 ❑ ❑ <br /> d m ❑ ❑ © t a � <br /> Field <br /> GTEL x <br /> Sample Lab # " a a a <br /> ID (Lab use only) o W "' g 3 <br /> w o w w a m <br /> s a p ¢ ice- U Z w g iza Q �- '" a w w w w w w w w i�tl u7 v <br /> m m x x 0 F- <br /> ScA 4 [Aa0 <br /> n <br /> �,Y <br /> t'; f r� l 't <br /> Spacial Handling SPECIAL DETECTION LIMITS REMARKS <br /> I � , <br /> i r vti' f <br /> 'Priority(24 hq ❑ GTEL Contact <br /> 3 •Fqwdf<ed(48IMI ❑ QuotelContract# <br /> c� Stara a Locitlpn <br /> T Businea Days ❑ Conarmation# SPECIAL REPORTING REQUIREMENTS Lab <br /> se my t5 O 3 1 t'�Z p t t <br /> Other ❑ PO# ���,� ���)` <br /> Business Da <br /> OA I OC LEVEL <br /> Work Order# <br /> BLUE❑ CLP❑ <br /> OTHER FAX Date Time Received by <br /> j Ftellnq sh d by Sampler <br /> Date Time Received by <br /> CUSTODY Relinquished by � <br /> ry <br /> Date Time Received by Laboratory <br /> RECORD Relinquished by ' <br /> '� "-�/ C, <br /> i Il <br /> V 1 Waybill , <br /> 7 <br />