Laserfiche WebLink
Ah Aoal <br /> c <br /> 4080 PIKE LANE, SUITE C CHAIN-OF-CUSTODY RECORD <br /> GT E L CONCORD CA 94520 AND ANALYSIS REQUEST 37179 <br /> (5 10) GG5 7852 <br /> I <br /> '"•�: (800) 423 7143 + r 1 1 <br /> Company Name I l Phone 4 <br /> W �" I eL p Fl1X ;L--P 7FI ❑ ❑ U ❑ <br /> Compan A dress bile Localion w c z a ❑ <br /> X07 �e�'y�, j}/' S�:Ta /Yo 9�/0/ pr.VT,t Rte. m ❑ ❑ a <br /> ,❑ ❑ a m a ❑ <br /> Prolecl Manager Clt nl P lecl ID (N)OeLo7p O/ 3 � � � 4 Y �' ❑ � � ❑ D <br /> U m an a h Q „ <br /> `rQt, Sb <br /> (NAME) •���b m ° o f I L� I I t] z Z ° CJ <br /> I-+tle,1 Thal Ihn prnpr'r Irnk1 s-impting <br /> Sampler Name (Pr t) a U va [ I I f E m I 1 I I Q <br /> procrriums v nrr,used during thr w ❑ a U .n U o N C U <br /> collection of Ihese samples ��` C� �� ; O N Q v a N " o T� <br /> P o r, a o o N a a 3 © ❑ a <br /> Matrix Method Sampling © o a o w S a ❑ `g <br /> Field GTEL i Preserved — I = b ❑ p w w a s Z's 0 a ❑ i� <br /> Sample Lab 0 a ❑ ❑ ❑ a a ❑ � 9 � a <br /> tt 7 Cr.w +, a C7 ¢ n o $ m m m O ear c <br /> ID Lib Uc;f- p F -1 ❑ O w O u4, we w w x >Z ` c y <br /> only / t, a p Q a t i3 Oz N w gr H w w o D z' m a ¢ a ¢ a a a w a �, <br /> an 4 rn a 0 2 S z V Ali 01 ¢ r- m m 7 = O ra- w w w w w w w w w F w U a O V <br /> P-- V 34- _1 <br /> 3 5 09.I <br /> tla 36 <br /> �S- 7 <br /> a 3 r1 --— lrj. <br /> :0 /1 <br /> 7 4 � <br /> TAT Special Handling SPECIAL DETECT ON LIMITS REMARKS <br /> r'rnr ly(�4 hr) ' G T E L Conlacl <br /> L=rr•r1'red 14�8�h++(f7) OuolciConlricl it <br /> 'flu Conhrm;ition N <br /> 110C.nf'SS PO A _ SPECIAL REPORTING REQUIREMENTS Lab Use Only Loi N Storage Location <br /> OAlOC Levei 4 ^F <br /> (N)ft ct r 01r', FAX❑ Work Order P C O 3 <br /> Rr(rnqu d by Sample Dale Time Rec rued by <br /> CUSTODY -�qs 'a� <br /> RECORD Relr 1u%u, <br /> d by 1 _ n Date Time Received by <br /> Re +ed by Date Time Received by Laboralory <br /> nS Waybill 4 C' <br /> i <br />