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r � � <br /> IGTEL4080-Pike Lane CHAIN-OF-CUSTODY RECORD <br /> Concord,CA 94520 800-544-3422(in CA) AND ANALYSIS REQUEST 72- 8497 CUSTODY RECORD <br /> E N V I R O N M E N INCAt 415-685-7852 800-423-7143(Outside CA) 1 R <br /> ANALYSIS REQUEST Y <br /> Project Manager r Phone# 10 Cl❑ _ <br /> • <br /> FAX <br /> m a m Q ❑ <br /> ~ 0 W ❑ J,. <br /> Address,, _ Site location ❑ o �' ❑ d 2� <br /> � ❑ ❑ r A } # <br /> NO/ ka t, a ,�n � 6 ❑ a p m ❑ 01* D <br /> CO <br /> Protect Number • .. ,� , Protec(Na @ `� m o ° + + Q Ir <br /> 0 7 ❑ v +� U cmc m m n E ❑ o ro <br /> Z- ZU Z/ LC.V% v1 r -�' 3 0 ❑ ❑ 0 �' a z *z D in <br /> 1 attest that the proper field sampling Sampler Name(Punt) 0 n 1 Q ❑ <br /> procedures were used during the collection L ❑ S ." x ❑ a <br /> of these samples f S �v G'` �.G� o N e a ¢ `c N _J <br /> N N U bi T ❑ ❑ ❑ ❑ ❑ ❑ 0 Q <br /> Field Source -N 0 ❑ c7 a 0 0 0 0 0 0 ❑ a o <br /> GTEL a Matrix Method Sampling � d E o 0 o M a N ❑ -a n � <br /> y o e ❑ co <br /> Sample of Lab# z Preserved ❑ m m ao m co m co ❑ J <br /> ID Sample (Lab use Q w �, 2 ❑ ❑ ❑ ❑ ❑ ❑ m M o �] o <br /> only) z w a ¢IIJ „ Q � � � � � � O a o 0 o 0 N N � � � <br /> O F- `J a uJ z = ►- LU x w m 0 o m m (0 p a a o > > > <br /> U a p cr D f- U z N Lu w x ° m m Q a a a a ¢ F- a s m m m <br /> N O x s z v Z 0 a u~o m F a F- ►° w w w W w w w hU- u U U m m v <br /> cc cc <br /> Al 1419A <br /> t 301 1 1 TIN <br /> E E E <br /> r <br /> ca r,} m is <br /> 1 ' <br /> Y\ <br /> qt <br /> SPECIAL HANDLING §PECIAL DETECTION LIMITS(Specify) REMARKS <br /> 24 HOURS ❑ <br /> EXPEDITED 48 Hours ❑ E <br /> SEVEN DAY ❑ �, y <br /> OTHER (#) BUSINESS DAYS <br /> QA/QC CLP Level ❑ Blue Level ❑ SPECIAL REPORTING REQUIREMENTS Lab Use Only Storage Location a <br /> FAX ❑ (Specify) Cr v Cr <br /> Lot# Work Order# -6 cc <br /> 1l <br /> 34 <br /> i <br /> _ I <br />