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c <br /> SERVICES,INCORPORATEpPoo CHAIN OF CUSTODY <br /> 401 Stanwell Drive,Suite 400 <br /> Concord,California 84520 <br /> Tel:(5 10)602-5100, Fax:(510)689-1918 <br /> UNOCAL : c!77L F ANALYSES REQUESTED SAMPLER • TURN AROUND TIME: <br /> S/S # 6 s� CITY: <br /> VARTKES TASHDJIAN ;I <br /> WITNESSINOAGENCY ADDRESS: e <br /> LOCATING 04 pq H A 0 aco tl b REMARKS <br /> SAMPLE Ip NO. <br /> PATE TIME WATER GRABFCOMP NO,OF CONT. U <br /> 2 1,& . % lJc4� 09 208 —G <br /> Mid �. 9�1�1�%,- k X X <br /> Acv 09 X09 - <br /> Z 7 410�) -� x <br /> IqcJ 7M <br /> 09 210 <br /> mi,j 3 g�f <br /> ,��lJ z' L 6 X X }C 09 X11 <br /> �1cJ � �•1 ' X X 09 212 <br /> Y <br /> 4 <br /> 2,'0 4 X X _Lx 09 213 <br /> 1') L 71M <br /> L : X z 1,44 L X X 0A. <br /> X 09 ti15 <br /> 5091,216 <br /> , <br /> RELINQUISHED BY: DATEMME RECEIVED BY: DATEITIME THE FOLLOWING mu5T B COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES: <br /> 9lyd�C�/j i?/g) 1) 1. HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON?CET <br /> / . G ;j f-�k L-11-/7 �ScS <br /> L 7/G�. ✓ ':� ___1 �/� 2. WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> (SIGNATURE) - /�/d];R <br /> ,.f� 3. DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAP SPACE? <br /> (SIGNATURE? <br /> / (SIGNATURE} (/ 4. WERE SAMPLES W APPROPRIATE CONTAINERS AND PROPERLY PACKAGER? <br /> I <br /> 67 <br /> (SIGNATURE? <br /> (SIGNATURE) SIGNATURE: TITLE: ATE: <br /> to be sampled for TPHG/BTEX, 8010&8240 are preserved with HCL. All water containers tq be sampled for Lead or Metals are preserved with HNO3. All other containers are <br /> ate: AN water containers <br /> unpreserved. <br />