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i <br /> �I <br /> l <br /> E <br /> CHAIN-OF- RECORrJ ry , . q 2 <br /> CUSTODY RECORD <br /> 4oso•Pike Lane ANA ANALYSIS REOUEST 1 �- t 1.` E <br /> 1'GTEL `` <br /> concord,CA 94520 000.544.3422(In CA} ANALYSIS REQUEST <br /> 4-coid 7H52 80C)-423-7143{Outside GA) r <br /> 1 ti 4 4 j I <br /> !H V I a 0 rl M E H I A l I ❑ T 1 F - <br /> iaaoc.,iavlrs. INC ° I ❑ ❑I l - <br /> Phone u.� 3'r72 m �� ❑' �, <br /> Project Manager: <br /> iM `� n 4 r ❑ mS <br /> FAX# 9l� - �, g - <br /> —� 6 ❑ ❑ ❑ ❑ <br /> Site to ti n: ,q �E <br /> sl �fSlf"" !?� �•yl.I� W 'n y ❑ 7.. C vl N <br /> Address: 'rl;+vr ` / y'p / m m LL N Coo N �. + O <br /> E- J <br /> qua�LS� <br /> _ Project Name: S N �, ❑ e U m m ❑ E I ti;C3 <br /> Protect Num r. • , r fan ` ❑ a z z �� a I❑ c <br /> r / fir ❑ N ❑ Id i ° 0 1 <br /> Sampler Name(Print): O � ❑;Y.Y o '� <br /> I attest t t the proper lied Same 9 ❑ m a n y ❑ ❑ ❑ ❑ ❑ ❑ 1 h N A <br /> procedures were used during the collection . \ �, ` ` N q v = 0 0 o Q o ❑ p ❑ Q ❑i { �( <br /> of these samples. in �-IYJ) Meth_odd Sampling m n' ` y m ❑N m m m «� m ❑ } T <br /> Matrix d j F j ro: <br /> Field Source GTELJ W preserved °. 6 d ❑ ❑ ❑ ° ❑ ° /� ; <br /> yI a o a �1 cl p k - <br /> Sample of Lab# � o pT ❑ - - m I o a o c� \- M1 6 <br /> Ca le 4als use a W m to m m w to p a !❑ s 3 el �'_ J 1 <br /> ID amp ( ¢ c7 ¢ W w w w x ,T = n b a a a a a a ale�i!a e <br /> onlyl >F J r j S O r!1 U", ¢ IW- o- ° W W w W w w W w I 1 QS (r Q f <br /> U a pt N n r 2 = V OZ <br /> t• a �fl <br /> - pr 1 <br /> 4 <br /> M RKS: F f�T � ��J a <br /> SPECIAL DETECTION LIMITS(Specify) ` A SSULN`[� E 4•.. <br /> j SPECIAL HANDLING 1,m)2-t4 Oct <br /> i <br /> 24 HOURS❑ yy <br /> EXPEDITED 46 Hours ❑ <br /> SEVEN DAY 0 - <br /> OTHER__L S�—t#) BUSINESS GAYS " - Lab Use Only Storage Location '6 LQ '? <br /> c <br /> c <br /> QAIQC CLP Level❑ Blue Leve(C] SPECIAL REPORTSNG REQUIREMENTS Work Order <br /> (Specify) Lot#: ¢ <br /> FA <br /> XX <br /> 31 <br /> f <br />