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© D SERVICES INCORPORATED CHAIN OF CUSTODY ` O <br /> rr�w+ <br /> 2401 Stanwell Drive,Suite 400 <br /> I Concord,California 94520 <br /> Tel (51o)6o2-5100. Fax (5W)689-i918 <br /> SAMPLER UNOCAL ANALYSES REQUESTED <br /> TURN AROUND TIME. <br /> HOVSIA AJEMAN SIS N o 1 Z',i CITY 1 <br /> C c7 a v <br /> WITNESSING AGENCY ADDRESS C � �� � I <br /> SAMPLING P4 H PA O � REMARKS <br /> SAMPLE ID NO <br /> PATE TIME �ATJERA` COMP NO OF CONT LOCATION H M H A H ao <br /> � ✓ 41" t�efl� ✓ `� 1 563 <br /> A 4r. 12 564 <br /> 1 <br /> DATE/TIME <br /> THE FOLLOWING MUST BE COMKETED`BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> RELINQUISHED BY DATEITIME RECEIVED BY <br /> do� t 1 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> iSIGNATUR I s D (SiATUREI 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> Lars <br /> L - tie <br /> (SIGNATURE} PIG } 1 J DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> 11 UU <br /> {SIGNATURE} ATURE} 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> a (SIGNATURE( ISkGNATUREI <br /> SIGNATURE TITLE Tc-ZAA7E <br /> ��Is— <br /> is All water cont to be sampled for TPHG/BTEX, 8010 & 8240 are preserved with HCL All v&ontalners to be sampled for Lead or Metals are preserved with HNO3 All ntalners are <br /> unpreserved <br />