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ti <br /> r <br /> NGTEL 4080-Pike Lane CHAIN-OF-CUSTODY RECORD <br /> Concord, CA 94520 800 544-3422(In CA) AND ANALYSIS REQUEST 72- 14078 CUSTODY RECORD <br /> E N V I a 0 N M(N T A L 415-685 7852 800 423-7143(Outside CA) <br /> LA60RAT0Q$F3 INC ANALYSIS REQUEST j <br /> — K <br /> Project Manager Phone# .- f 7rJD ❑ ❑ ❑ <br /> W W ❑ p <br /> FAX* �G-_?, �7 `' °�° o a ❑ P, <br /> Address ' /� 7 ' � �" Site location n 1n ❑ �" <br /> ❑W 0� ❑to ❑ ❑ O ❑ ❑ ❑ z V # <br /> 1 r c <br /> Sb O 3 7 E to ,n = c <br /> CID LL C4 00 CD <br /> Project Number Project Name `o m + + o n ' r <br /> .�. N ❑ v R{ a cc N W ❑ ❑ 2 J m <br /> //r 5 I a�/ J�/ 3 M ❑ ❑ 0 O d Z Z v y .ftl ❑ p O <br /> I attest that the proper field sampling Sampler Name(Print) 'n v r m N a Ili! L <br /> procedures were used during the collection - ❑ 4 v � "' o a) 0 0 v <br /> of these samples ' - ;i- �� ^, ? Y O '� a ° ❑ ❑ ❑ ❑ ❑ ❑ a o o i W 0 <br /> N O ❑ V co 2 ? — rn U_ <br /> Field Source GTEL Matrix Method Sampling m � � � m E - N m o � o ❑ ❑ o a ❑ 0 <br /> Sample of Lab# = Preserved ❑ 0 M a CO CO m OD W W 9 � ; v y ❑ <br /> ID Sample (Lab use a cv x' D 0 o ❑ ❑ ❑ ❑ ❑ ❑ m = 0 id � n n <br /> I- W o a ❑ - y to w O v ,n o v 07 a v v I <br /> only} Z w O W W lL W 5 - 5 a (D Wco X a "- 2 6 > ; i <br /> a ¢ = O � V OF ¢ W W x m a a a ¢ a a a s ° v d m <br /> # 3 vQiaV) O Y 2 T _ ZO D F m m a a F°- I.- w w w w w w w tU- W _J IJ trL i ��_ <br /> CL ccr <br /> { <br /> E `] E E <br /> G� <br /> n� <br /> SPECIAL HANDLING SPECIAL DETECTION LIMITS(Specify) REMARKS m <br /> 24 HOURS ❑ a <br /> E <br /> EXPEDITED 48 Hours ❑ <br /> SEVEN DAY ❑ a q a a <br /> OTHER (#) BUSINESS DAYS <br /> OA/OC CLP Level ❑ Blue Level ❑ SPECIAL REPORTING REQUIREMENTS Lab Use Only Storage Location 5 ( 3 5 <br /> FAX El (Specify) ! Cr l 1ff Q <br /> � Lot# Work Order# Q m m <br /> Q Q a <br />