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�a t <br /> ED SERVICES INCORPORATED <br /> 2401 Stanwell Drive,Suite 400 CHAIN O F CUSTODY <br /> Concord,Calllornla 9452D <br /> Tel (510)602-5100, Fax (510)689-1918 <br /> SAMPLER UNOCAL ANALYSES REQUESTED <br /> VARTKES TASHDJTAN S/S # Z CITY Ln`"`! TURN AROUND TIME- <br /> WITNESSING AGENCY ADDRESS (a 3Y C-*-"4r-&� -jt" - <br /> O o <br /> SAMPLING 04 H A4 1.4c REMARKS <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION EI A Ei eo <br /> S / 12 1114 ro /✓C34 Y C 21 09 7 <br /> e7r� <br /> 6321099 <br /> RELINQUISHED BY DATE/TIME RECEIVED Y DATE/TIME THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> t HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? �� S <br /> E # 0 NATURE) Z WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALY7.ED? P 5 <br /> Mr—NATURE) l��b ( G T ) DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> t t v / O+► <br /> ISIGNATURE} ISIGNATUREI 4 WERE SAMPLES INN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? P <br /> (SIGNATURE) J�1_-- —�"'" (SIGNATURE) SIGNATURE)!_., ,""' TITLE DATE. I <br /> 1c�j[ <br /> a s All water containers to be sampled for TPHGIBTEX, 8010&8240 are preserved with HCL All water containers to be sampled for Lead or Metals are preserved with HNO3 All other containers are <br /> unpreserved <br />