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x f <br /> yt <br /> DSERVICES INCORPORATED .i t qJ b <br /> CHAIN OF CUSTODY ' <br /> 2401 Stanwell Dave,Suite 400 +' <br /> Concord,California 94520 <br /> Tel (510)602.5100, Fax.(510)689-1918 <br /> SAMPLER UNOCAL ANALYSES REQUESTED <br /> VAItTKES TASHDJTAN SIS # DfZ CITY /rets TURN AROUND TIME' <br /> WITNESSING AGENCY ADDRESS „✓'G 3 �n�t �'¢'-_ <br /> O <br /> SAMPLING per, H a O o REMARKS <br />` SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION F4 oo <br /> L P06 863 <br /> C S 2 x 06 864 <br /> C s <br /> RELINQUISHED BY DATEITiME RECEIVED BY DATEITIME THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> z,CID <br /> (SIGNATURE) (SIGNATURE) Z WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> /( <br /> (SIGNATURE) (SIGNATURE( 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? 1-K,_ <br /> (SIGNATURE) ( REI 4 WERE SAMPLES W APPRO TE CONTAINERS AND PROPERLY PACKAGED? <br /> (SIGNATURE) IS NATURE G �p SIGNATURE f i TITLEac ),f/�s DATE. <br /> ote All water containers to be sampled for TPHGIBTEX, 8010&8240 ar eserved with HCL All water containers to be pled for Lead or Metals are preserved with HNO3 All other containers are <br /> unpreserved <br />