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M P IS Services, Inc. <br /> 2401 Stanwell Drive Sane 400, Concord CA S4520 al v <br /> Tel (610) 602 5120 Fox (510) 689-1918 <br /> CHAIN OF CUSTODY <br /> SAMPLER UNOCAL �� ANALYSES REQUESTED <br /> TOO HOVSIA AJEMIAN SIS # 1�1 23 - - CITY ��� TURN AROUND TIM[ <br /> in <br /> ` I Ave , <br /> WITNESSING AGENCY ADDRESS { 0 3-4 ��� !rC Q W �.,is <br /> cp K o o <br /> I SAMPLING a CL O OD REMARKS <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION h m <br /> jva+ 6030124 <br /> ES 2 ✓ 603 125 <br /> �� � ✓ 6Q�� 126 <br /> THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> ELINGUISHED BY DATE TIME RECEIVED BY ))rQ4 T HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> 3— — <br /> ISIGNAIUREI 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> ISIGNATUREI (SIGNAf EI 7 DID ANY SAMPLES RECEIVED FUR ANALYSIS HAVE HEAD SPACE? <br /> U J <br /> .M� <br /> ISIGNATURE) ISIGNATUREI 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PRUPERLY PACKAGED? <br /> )SIGNATUREI ?r ��, I N ) SiGNATURE TITLE V DATE <br /> 7K �� 3 ` <br />