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AM <br /> 4080 PIKE LANE, SUITE C CHAIN--OF-CUSTODY RECORD <br /> GTRCONCORD, CA 94520 71,/33082 <br /> r,•,• (510)685-7852 AND ANALYSIS REQUEST 1 1 Z 5 <br /> • �••� (800)423-7143 <br /> � 1 t • <br /> C mpany Name Phone# ,� 7 Z LI7pv/ <br /> ,0 ,&) -, FAX# 7�( ❑ ❑ <br /> Company Address Site Location m C =EJ rJ <br /> a r 1 <br /> N <br /> 7 0 0 <br /> Pr jec Maria Client Project ID (#) 3 � N 0 [1 <br /> d2D'70 W $� ❑ a <br /> 0 E� _m vi in = a r- <br /> lJ! W ❑ C7 El z z ( l ❑ r` <br /> I attest that the proper field sampling Sampler Name(Print) 9 U to �, ' ❑ p <br /> procedures were used duan the t ; y ❑ 0 C7 `o J J v m a U N ( 1 <br /> collection of these samples g (� 3 o y ❑ Cl .0 N ❑ © 0 � � Y 0 ~ C7 <br /> CL 0o a H ❑ a rn a <br /> Method m m a m ma © ❑ a o � ° N <br /> ,n Matrix Sampling o CD <br /> �, a a a ❑ ❑ o © > g S <br /> Field GTEL w Preserved © b E] © O W W -J -im M ❑ a k o <br /> Sample Lab# a w N ,", 0° 11 ❑ ❑ a a ❑ m N <br /> ID Lab Use a w J p O w o W W W r w w D O d O O N N co MO X p d N V O <br /> r n N ID �O 10 ID rD 'O (� C <br /> only v a p a � Q u z N v W a �, D, -° a o as a a a oa a a a v a a o <br /> * 3 +n a N a o a x _ a 0- o l= m m 1 = b t- w w w u3 W ui ru w w w V J 6 U <br /> II_Z I I J-1- <br /> 02Z fS� <br /> S 11 � Sze <br /> ' t0 30 Z J <br /> D li0,31 1 tta Y <br /> B 6 ao <br /> A/ (�' <br /> DL <br /> 16ci <br /> a � 014X X <br /> s <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS <br /> Priority(24 hr) ❑ GTEL Contact �( C IEz'do <br /> Expedited(48 hr) CI Ouote/Contract# <br /> 7 Business Days Cl Confirmation# <br /> Other _ <br /> Business Days C( PO # SPECIAL REPORTING REOUIREMENTS Lab Use Only Lot# Storage Location <br /> 0AIOC Level �f-^ 'r^- Sp rv+l't-r� 13 S-I G) t3 9 "f h <br /> Blue[I CLP(l Other FAX(:) Work Order# <br /> Relinclulled by SamptZ Date Time by/�� <br /> Yt t Ff0 {I E SIU iti hl 5 {s <br /> CUSTODY 1 nOf) <br /> RECORD e1rnquts d by e Re etved by <br /> ReUn fished by Date Time Received by Laboratory <br /> Waybill 9 <br />