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1^ <br /> i <br /> I <br /> i <br /> 4oap Pike Lane CHAIN-OF-CUSTODY RECORD CUSTODY RECORD ' <br /> *" concord,CA 94520 800.544.3422(In CA) <br /> GTEAND ANALYSIS REQUEST 72- 11188 ry 1 <br /> + ! <br /> E N.V IQ ON ME N 1 A l 415-685-7852 800.423.7143(Outside CA) ANALYSIS REQUEST <br /> lttl16 IAl ONA100113. INC <br /> I <br /> Project Manager. Phone#: ❑ ❑ LU n ❑ [3i ? <br /> a 0 ur n ❑ " <br /> �Uw r!�er <br /> FAX 0 In ❑ <br /> Address: Site location: ❑ ❑ ❑ Q ❑ ❑ ❑ m p' V <br /> k4 n4 .�C�LbO[ /r -( h o e o m ry O y Q (!!! <br /> project Name: a ❑ u a m m_ m 4 E ❑ o <br /> Prosect NumheOr.[1 0 1 / /� J 5 <br /> ZO 2 4 1 t t d d 4 G-C A'1R�C){�i # m ❑ ra13 - ❑ oo0 o � Z v_ In � 0 ❑ � I �1 <br /> 1 attest that the proper field sampling Sampler Name(Print), g ; m ❑ n U t o r <br /> -0( <br /> P rocedures were used during the collection �lO�!"5 n m o ' o } a ❑ ❑ ❑ ❑ ❑ a p ❑ P: 2 o <br /> of these samples. o ❑ m x o Q o 0 0 0 ❑ ' ry `� ° '� <br /> Fleld Source GTEL ¢ Matrix Method 5empling m y v o 0 o h N N d ❑ a° ❑ -' <br /> ee m m m m m m m m a p _w ❑ �. a <br /> LU Preserved <br /> Sample of Lab# z N s `� 4 .a S ❑ ❑ ❑ ❑ ❑ ❑ m a -' " I M ro <br /> ( ah se ID Sample >_U % <br /> only) u U <br /> u <br /> ¢ ¢ - <br /> ,� <br /> E, E .i <br /> f <br /> i <br /> SPECIAL HANDLING SPECIAL DETECTION LIMITS(Specify) REMARKS: I <br /> 24 HOURS❑ <br /> EXPEDITED 48 Hours ❑ <br /> SEVEN DAY ❑ <br /> ro n <br /> OTHER !#?BUSINESS DAYS <br /> OA/OC CLP Level EI Blue Level❑ SPECIAL REPORTING REQUIREMENTS Lab Use Only Storage Location a <br /> E c `Ir M S <br /> FAxIQ (Specify) Lot tt: Work Order : r <br /> 'I <br /> a .1� <br /> i <br /> i <br /> s= <br />