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mew <br /> GTEL 4080 Pike Lane CHAIN-OF-CUSTODY RECORD cc�� CUSTODY RECORD <br /> NConcord, CA 94520 800-544-3422(In CA) AND ANALYSIS REQUEST 72— -88 2 9 <br /> F N V I R O N M F N T A L 415 685-7852 800 423 7143(Outside CA) <br /> ARA TORIES INC ANALYSIS REQUEST <br /> _ 160 <br /> Project Manager Phone# ❑ 1 <br /> ❑ 1:1 <br /> M 4 V ❑ <br /> UJ U <br /> FAX# r o Lor, ro ❑ <br /> Address Site location In u- ❑ °; 2_ <br /> ❑ ❑W to ❑ ❑ a ❑ ❑ n ❑ co <br /> In O L7N W �„ C In N z a S O N <br /> Protect Number � ProJect Name o T7 % + + o ¢ ro <br /> « N ❑ V Q m Fn N ❑ ❑ J <br /> r Du�R,C r�orv�� d, o ❑ oy_ ❑ � o n- zz � � 0 � ❑ 3 <br /> I attest that the proper field sampling Sampler Name(Pant) In �, D 5 " o ❑ o 4 <br /> procedures were used during the collection ❑ o m �? m Z M C) r ° yv <br /> p _�I M ON I-S 1 • <br /> of these samples o N v 'a ❑ ❑ ❑ ❑ ❑ ❑ a O o c <br /> Field Source GT EL o Matrix Method Sam Iln ❑ a z o 0 0 0 11 P.0 o U ' ' N `n L` M ` 0 <br /> IL p 9 �, aT ] o o 0 c7 N N 0 0.. ❑ � <br /> Sample of Lab# Z Preserved Q � �, 2 m ao rb TA W m w ❑ m 0 y, y, ,, <br /> A o O C) ❑ ❑ ❑ ❑ m :° _ o m n A tf <br /> ID Sample (Lab use a 1 9� N T n - °� _ d g N I <br /> onlyl z C7 ¢ o a N m o a +n v m > v <br /> W + w w �P F N U O a O 0 Q N N ?Z ti QI <br /> O F -' A w Q U Z h w X � Ia m an w w w ro U a a o o > > > d <br /> v ¢ m '� w w W r @ a a a a a a r a a w m m <br /> 3 � aa_i O z = U O �' Q F- 0 2 0 0 a. a s 0. a a 0- t, a Lli a 0 0 0 0 <br /> — Z O O �=- m m H a F F- w w w w w W W h W -T ca U 0 (D 0 <br /> _ 1-13 3c� ¢ I¢ <br /> 1-7 <br /> o i n . o <br /> I I it <br /> SPECIAL HANDLING SPECIAL DETECTION LIMITS(Specify) REMARKS � <br /> 24 HOURS ❑ a <br /> EXPEDITED 48 Hours ❑ <br /> SEVEN DAY ❑ t <br />� <br /> OTHER (#) BUSINESS DAYS <br /> QA/OC CLP Level ❑ Blue Level ❑ SPECIAL REPORTING REQUIREMENTS Lab Use Only Storage Location <br /> FAX ❑ (Specify) c or Cr <br /> Lot# Work Order# <br /> ¢ ¢ <br /> i <br />