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Ivl r u Services, Inc. <br /> 2401 Stanwell Dr une 400, Concord, CA 94520 <br /> Tel {5901 602 5 Fax (510) 689-1918 <br /> CHAIN OF CUSTODY <br /> SAMPLER _ TOSCO //,, ANALYSES REQUESTED <br /> SIS # � CITY S CK /7 TURN AROUND TIME <br /> WITNESSING AGENCY ADDRESS let Y' <br /> C4 Q <br /> SAMPLING �� REMARKS <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION CQ Z <br /> MJAJ <br /> 70'7 :�yh <br /> Mil <br /> M Gj X /X 7 �( X 71f 10110 <br /> RELINQUISHED BY DATE/TIME RECEIVED BY NG DATEITIME THE FOLLOWIMUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> II T I 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> P, a <br /> _Jl rl <br /> {SIGNATOR ISIGNATURE) 12 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> ISIGNATURE) [SIGNAT E / /U 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> (SIGNATURE( ISI REI 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> (SIGNATURE) (SIGNATURE) SIGNATURE J TITLE ate i r- DATE 7/ I <br />