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I <br /> © ED SERVICES INCORPORATED CHAIN OF CUSTODY <br /> _p <br /> 2401 Stanwell Unve,Suite 400 <br /> 4 Concord,Caldarnla 54520 <br /> Tel (510)602-5iDO, Fax (510)689-1918 <br /> SAMPLER UNOCAL ANALYSES RE❑VESTED <br /> TURN AROUND TIME. <br /> HOVSiA ASEA1IAN SIS # 6 (7 3, _ CITY <br /> y <br /> ".�vef f 4 <br /> WITNESSING AGENCY ADDRESS d 7i CP'^ '' 0 I <br /> O <br /> SAMPLING P4 H R�4 0-4 O a REMARKS <br /> SAMPLE Ip NO <br /> DATE TIME WATER GRAB COMP NO OF CONT LOCATION 00 <br /> 66 <br /> 120.567 <br /> �s 3 <br /> 3120568 <br /> RELINQUISHED BY DATEITIME RECEIVED BY DATEMME THE FOLLOWING MUST BE COMP�ETEO'BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? �T <br /> ✓�� 1 '3 )5 <br /> Z2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> ISIGNATURE) ISI A REI <br /> {51G RE} 1 1s r� 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPZ <br /> ISIGNATUAEI �?Ja <br /> (SIGNATURE) I ATUREI 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> ISIGNATURE) (SIGNATURE) SIGNATURE TITLE DATE <br /> J I.- !�Ic - 9 1 k <br /> to All water cont to be sampled for TPHGIBTEX, 8010& 8240 are preserved with HCL All w containers to be 6ampled for Lead or Metals are preserved with HNO3 All other ntalners aro <br /> unpreserved <br />