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q!E !. 4080-Pike Lane CHAIN-OF-CUSTODY RECORDConcord,CA 94520 800 544 3422(In CA) AND ANALYSIS REQUEST 72- 8494 CUSTODY RECORDMENIAL 415-685-78a'�2i 800-423-7143(Outside CA) f <br /> >• LABORATORIES INC ANALYSIS RE01.119ST a <br /> Project Manager Phone# ❑ <br /> ❑ q <br /> Goff jl FAX# ` H < o '� � 0 ❑ j Address. Site location w U' ❑ ? 2' <br /> #~ <br /> ❑ ❑ ❑ {7 '❑LU <br /> d ❑ ❑ `m ❑ rn — <br /> M O 7 N A G 0 N 2 ¢ = 0 <br /> Project Number - Project Name °�° �` m `° ° + + ❑ ¢ <br /> tN ❑ 5 ❑ ° M <br /> us l ., S 3 ado ❑ o o a z z m d y 8 ❑ <br /> _ <br /> I attest that the proper held sampling Sampler Name(Print) o m p p o ' ❑ a �, <br /> procedures were used duri'ng the collection ❑ o m N " o od ❑ 2 r n <br /> C%J IN o roOof these samples u ek.VTA v% ct ❑ ❑ ❑ ❑ ❑ u pO Fieldatrix O O O O O 0Source GTEL MMethod pg E N0v r. a Ln <br /> Preserved dm womW Sample of Lab# Za. <br /> o a, ❑ i <br /> ID Sample (Lab use <br /> U x xN azz 40 <br /> m ❑ ❑ ❑ ❑ 0 <br /> cr 00. ❑ aZcc LU <br /> only) O mmwNIn Og vam aAW0 W O 6. a <br /> UO Om W W UJ W W W W Wao¢ —pL�Ni 1 "¢ U`oZ I Z p F Q F a <br /> a <br /> wAVI. aT <br /> vN fl1 avQt <br /> cc <br /> r <br /> ` ly <br /> N 01 N <br /> Z E V E <br /> ' Z <br /> Z <br /> Y <br /> � r 1 <br /> SPECIAL HANDLING SPECIAL DETECTION LIMITS(Specify) REMARKS <br /> 24 HOURS ❑ t 4 JcE'EXPEDITED 48 Hours ❑ fSEVEN DAY ❑ <br /> OTHER (#) BUSINESS DAYS a) a,QA/QC CLP Level ❑ Blue Level ❑ SPECIAL REPORTING REQUIREMENTS Lab Use Only torage LocationyFAX ❑ (Specify) cof# Wo k Order# cc <br /> q � ' <br /> 1 <br /> r <br />