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070 ' i� MOM •E i i t, 17Mn��i4, <br /> 4211 MAY AVE `'CHAIN-,OF CUSTO' aRECORD t '` <br /> ' ■ <br /> WICHITA, KS 67209 ' <br /> ` ;G' , Y 316 9452624 ANDi4�11Ii4LYSISIR60 PT ; <br /> 800 633-7936 <br /> 1 i <br /> t Company Nan* p Phone# j/� yS6- y33� <br /> r FAX# vs" -o//.O ❑ 13 e <br /> Company Address Site Location (43a.1 weft .s." +t , ��` i 13 <br /> J73y- <br /> CA MT a Man4eeaC'/f _„'•� �> t p 13 ❑ Q <br /> n �i , ,n ❑ ❑ 7t: <br /> Protect Manager Client Project ID (#) To7/o.� oaf-o,,, k ❑ M �y N Q <br /> _Q e <br /> r 4 2 v .�. �❑ Q 0 <br /> s. � � OW2lr /�MPOII � n�Te[, 'r aw a ;6, ❑ ` m z O p nom', �- -i, <br /> MCY <br /> I 8tte�t that the proper field sampling Sampler Name(Print) r ❑ 9 ❑ ❑ ❑ ❑ ❑ a d <br /> orocedures were used during the �. i a ,i$ o ,� ❑ ❑ a m A � ° � ❑ � c <br /> allectlon of these samples g �� t .c7 - a ❑ ❑ m y m 3 ^ A <br /> a. <br /> MatrIx Method K �; •Sampling w e o ° w ❑ a ❑ o1. o 1\ V <br /> - Field GTEL W <br /> Preservedw �,�, „a r ❑ ❑ w w J 2 g ❑ a ❑ ❑ [ i- d <br /> $ample tab# < 1 �, w i❑ a a b ❑ ❑ n ❑ .+ i <br /> { ID Lab Use o J S o w _ w -up a4 m i?! n a NEW to 110.9 fix I IN 111910 Idamol 4§80 w aim w a IN IN 1211011M INNIMM"5* <br /> o u p `*- .► <br /> 7 1 only vi a O z z v O o _ m �' ~O' � w u w w w w -w w w� c O tg <br /> AQ <br /> ty <br /> If <br /> S ry r4 a - <br /> ll h <br /> /,� x! h-1 Jai 1 ��F1 xlrjT '{Jjti <br /> 4113foldnislaw mmHg an anannimalwom <br /> J MMM <br /> Tc M.- riA. <br /> TAT SWIal Handling SPECIAL DETECTION LIMITS REMARKS _ 1 <br /> Priority(24 hr) ❑ GTEL Contact 01 #61, <br /> Expedited(48 hr) 'Q quote/Contract# 1! <br /> „ 7 Business Days ❑ Tru r { n o► /VO1/i C P <br /> Other sja. Confirmation# Sp..glei i Q t •Ca •+ CL�#els <br /> Business Days ❑ p O # SPECIAL REPO,J7iTING REgUIREMENT � Lab Use Only Lot# Storage Location rt'D <br /> CAICC Level © Se � 'ltiti4 <br /> '81-e❑ CLP❑ other❑ FAX❑ "� Work Order 5o'k SGL►*�(tS {ter i 1 <br /> Spp <br /> %4 <br /> ` RelinshedbySampierQ J� �roWA ��1� Pate Time Received by I� �vo, � tSf �wt <br /> , <br /> CUSTODY 9 <br /> Relinquished by '` Date d Time Receid by <br /> RECORD ' •tr -� 1 <br /> Relinquished by _ n _ Date Time Received by Laboratory s <br /> Waybill# ` <br /> I <br /> r <br />