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Services, Inc. <br /> Drrvs, Sults 400,Concord CA 94520 1 R <br /> 1 602 6120 Fax (6101 689-1918 <br /> CHAIN OF CUSTODY <br /> SAMPLER IUNOCAL ANALYSES REQUESTED <br /> HDVSIA AJEMIAN <br /> SIS f Z CITY )c Air- <br /> 'WITNESSING <br /> c TURN AROUND TIME <br /> w <br /> WITNESSING AGENCY ADDRESS I cI4- CPv1+( t A ve 4 W <br /> qx oo <br /> SAMPLING a a o W REMARKS <br /> SAMPLE ID NO DATE TIME ATE COMP NO OF CONT LOCATION F- lb F <br /> U_ 3- I - 9� �a Z�A9 �, �; vete ✓ J G0 2� AL <br /> AIS 60 3zz <br /> 3 ,, q��a J 60 123 <br /> � � <br /> THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> R INQUISHED BY DATEITIME RECEIVED BY 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE► <br /> �. <br /> ISIGNATUR>l l5i �-� 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> ISIGNATUREI ISIGNATUREI J DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> ISIGNATUREI ISIGNATUREI 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> ISIGNATUREI a t G" RE► SIGNATURE TITLE DATE <br />