Laserfiche WebLink
4080 PIKE LANE, SUITE C CHAIN-OF-CUSTODY RECORD 37120 <br /> GT E L CONCORD, CA 94520 AND ANALYSIS REQUEST <br /> (510) 685 7852 <br /> (800) 423 7143 <br /> i � r <br /> Company Mame _ Phone I L(7a� <br /> G"roueQcv �� I ra FAx a 65 G) -7D <br /> _ IL r� <br /> Cam any Ad ress Nile Location j� m <br /> 0 <br /> /Y ay I� y�.. br S� �-- /y 4 G 1) <br /> ty U N ^ N 9 a -J �� fl <br /> f+tol�ect Manager Client Project iD (k U m :2 + + m La * e <br /> � (7D U ❑ 1A 0m w in <br /> in y <br /> /-` Sdt.{ m a a U fN { I L7 i z Ll I E} U CJ <br /> I ntie5l Ihnt the proper held vimplmq Sampler Name(Print) a o `' p o IJ �� v m ; u <br /> procedure.werr+used dunnq IliaL LJ o n N LJ [J v 17 0.° r- <br /> collection of these Samples Br �'� '� a °0 o m v, a o N 0. a �} 0. <br /> n U O O I I N N E I C <br /> En Matrix Method Sampling o 4 m o w a o u u f_l a U <br /> rt Preserved co �- v+ N fl w w m -J -J b Cl a <br /> Field GTEL w —_ n x c c m I1 0. a m -! „ U <br /> z — — 0. a L1 S0 m 1 N J <br /> Sample Lab H a U o C7 a ° r7 N m o m m m °rj <br /> p r a 0 -1 rr p R ° c7 li � a n In w co n es o a N <br /> ID (lab Usr+l z w d ❑ w p ��, w w w x r <br /> 11 n -J 7 O I UI W ILK T W W V D b CQ Q 4 Q Q Q Q Q J Q <br /> Only U '� O cc .� Q F- U Z u Z N Q F- F T T — 0. ❑ d 0. Q,. {l. R 0. d 0. Q o <br /> 2 in a rn a 0 z = x _ p_ ❑ ►= m ao I I O t- w ut ur w w w w w t) } Q C) <br /> 0Z --- - — _ o7►v _ - <br /> u-I <br /> E <br /> TAT Special Handfing SPECIAL DETECTION LIMITS REMARKS <br /> Preornty[24 hit L I GTEL Conlael <br /> F.pod led('+B hrl f I OuotelCOntract A <br /> 7 Business D }} �l Confirmation M <br /> other X. SPECIAL RI=PORTING REQUIREMENTS Lab Use Only Lol A Storage Location <br /> ©usmrss Days 1 I PO A +O r <br /> 01UQG Levet C-Soct 0096 <br /> Eltun[1 Cir'f I Otnrr[I _� _ FAX❑ Work Order A <br /> Relinquish4Sampler i ale Tim Received by <br /> CUSTODY o <br /> RpLngwk he Time Received I)y <br /> RECORD ,� r 95 z3nehnquiah /D-Mr Time Receive by Laboratory <br /> Z�� —Waybill e r- <br />