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4080 PIKE LANE, SUITE C CHAIN-OF-CUSTODY RECORD — 40323 <br /> GT E L CONCORD CA 94520 AND ANALYSIS REQUEST <br /> (510) 685 7852 <br /> (800) 423 7143 ., <br /> Company Name Phone C «p 775 4-133 <br /> �� Y_i V �C 'I L l FAX H [ ❑ rj <br /> Company Adores, <br /> Site Location ( ❑ U o <br /> y L] Cl ❑ w ¢ o <br /> L N <br /> Project Manager Client Project ID (4)CPQ)0(9!33 059, 1 2 ± � ❑ a N s <br /> {{t {�, <br /> ❑ O o N MM = O ~ r-- <br /> C3 <br /> is <br /> k- a to Ci-It VQfl r N m u a ❑ ❑ p l z z I ❑ <br /> 1 rllr'sl thal the proper Held sampling Sampler Name(Punt) r a rr <br /> T o U a m a CU N Ll <br /> CO <br /> procedures were used during the 3 o O N a 0 n N p V N ❑ a N ❑ 0 <br /> collection of these samples { � ❑ <br /> d N N ri V r- 0. Q Z' ❑ n <br /> 0 U. m r U O O ❑ N N ❑ O C <br /> Method N b o v rn m o m o� o m m o ❑ > g $ ro <br /> Matrix Sampling v O a` m ❑ n< a v ❑ fl a ❑ a a ❑ LL <br /> Field GTEL Cc — Preserved M a r- M ❑ ❑ w w a s d H H ❑ <br /> K F N n° $ m m o ❑ L] ❑ a a ❑ g m t A "+ _ L <br /> Sample Lab a w V c7 o a o o car N X n cMv w <br /> r tz L7 U tz ❑ ¢_ a ¢ n n m 'n 'D w cc m O = o <br /> ID Lab Use O � p o w wm w> w w X � o c i, -j n m <br /> only V p ¢ ¢ U O O w nQ ¢ 2 Fw- 4w n �,. = a p a a a a 0. Ma a n. U 0- ¢ y o <br /> 0 <br /> y a a rn a - 2 = x V Zm O r o M m m r x O 1- w w w w w w w w w H w U O U <br /> 3 x > <br /> IF <br /> 'Up <br /> � 4 <br /> TAT Special Hangling SPECIAL DETECTION LIMITS REMARKS <br /> Prinrdy 124 hr) GTEL Contact <br /> r , oeiiled(48 hr) I Quote/Contract 9 <br /> i©usinr.ss flays Conlirmallon N ___ ,_-- <br /> Ott'"r T SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot p Storage Location <br /> Business Days I + PO 0 —_ ___ -- — _ C� <br /> scc� <br /> QA/QC Level <br /> Blue CLP Other r FAX❑ Work Order N <br /> John nshed ry Sam er Date Time Received y <br /> CUSTODY a 5 <br /> 17eIIn u d by Date Time Received by <br /> RECORD <br /> Rellnquis red by �a Det C Time Received by Laboratory <br /> � Wa btll# � } <br /> t r 1 <br />