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Am I 'Aft <br /> Mw 4080 f IKF LANE, SUI1 E C CHAIN-OF-CUSTODY RECORD 3 1177 <br /> GTEL CONC(1i1D, CA 94520 AND ANALYSIS REQUEST <br /> .. (510) 665 7852 7 <br /> ■iiw „ �.. .r . (800) 423 7143 ANALV918 HOW ME <br /> (;Ornpait <br /> nine l Phone It ���(, 711L - 7L)4-) <br /> Ua.�er- T�� FAX ��(, ld I ► , , I I <br /> Coi tri Address Site Location ��/p ny�Ly� lC�, m m <br /> nt <br /> 4,- P eJf mcc <br /> f 1 f 1 11 v t) <br /> ��_GST Soy �oC��ficw- C z v �+ a 1 II <br /> Project Mann ger Giienl Project ID (N) N a U a �1 z <br /> I l ��� b�n7o 013,3 ❑ H m m m o <br /> ���a.-� s73+'� DEa b�br}I w o I I NI I I IT z z I I Ic l I I I a <br /> 1 iiipr i timi ihr proprr hrld-nrmplinq Sampler Name (Print) 4 I� o n U g U o IJ I� v y U N U <br /> nrocedurr•,wore lysed dunnq the ` C7 C7 on n N Cl E] U a y ❑ a° t] o <br /> collection of tIiesa samples ��-C��— Ll Q o `� 0 a 2 N [L rr a s z t] a <br /> Method n 0 a a U) W < a 4 U m 0 0 a g 8 <br /> lAatrlx 5ampling O 0 r l w U E] H d N u LL <br /> Cr Preser�edl W r a Ll w (L I j j L1 V <br /> Fleld GTEL z — L1cli = ` m m g Ll U w U a 0. r� <br /> Sample Lnb K w x m <br /> rr <br /> ID Lab USo� o k' _ j p "' + w g" � ri"- 'uj v d a a a a a a a x 2 a b <br /> Only V a C cr U z N U z1, a ► F T a o a a a a a a 0. a U a -t m <br /> cr a rn a 0 = x _ 0- O m x x 0 H w w w w w w w w w F- w U O <br /> 1 - to 01 _ }� s 30 <br /> ya Oz 01* <br /> J ��S <br /> 03 _ _ +00 <br /> OS <br /> of — !+`I <br /> O� - - 161_ <br /> °q - <br /> _yS` } <br /> V LLLL I L <br /> TAT Special Hnndllr.g SPECIAL DETECT ON LIMITS REMARKS <br /> rri.v iy 174 hri t GTEL Contact i <br /> E�Ppdrlyd(48 hl) ' OumolConlract A <br /> V1j% e% nay Confumalion N <br /> 01 <br /> O'S SPECIAL REPORTING REOU1REMENTS Lab Use Only Lot 9 Storage Location <br /> C i o� <br /> QAIQC Level <br /> fl,u. Cir Orhnr FAX❑ Work Order A C 5 06.0 4 3 <br /> Relinquished by Samp er Date Time Rece d by <br /> CUSTODY <br /> RECORD <br /> Rel,ns}u,she t,y Date fine Rece, ed by <br /> Rrlinqurshe by Dale Time Received by Laboratory <br /> 8/ 0 Wa bill s <br />