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r. <br /> [PAO <br /> SERVICES,INCORPORATED CHAIN OF CUSTODY <br /> wel4I rive suite 400 u S�•y Sl'„ r��r�`� <br /> ` <br /> Concord,California 94520 <br /> Tet:(510}602-5100, Fax:(510)669 1918 <br /> SAMPLER UNOCAL- F6PAi& ANALYSES REQUESTED <br /> VARTKES TASHDJIAN SIS # Ec/ S— CITY: <br /> c� �I• TURN AROUND TIME: <br /> ky— <br /> � � a <br /> WITNESSING AGENCY ADDRESS: ¢ / �Q M <br /> (' O <br /> SAMPLING a H a *4 O c REMARKS <br /> SAMPLE Ip NO. <br /> PATE TIME WATER GRAB COMP NO.OF CONT. LOCATION H 00 E A E"I 00 <br /> 09 X18 <br /> CSL t I-Ar X x <br /> q:MU X � � � 509 219 <br /> RELINQUISHED BY: OATEITIME RECEIVED BY: QDAJ TEITII�ME THE FOLLOWING Ml T 13 COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES: <br /> f S]J6' 1. HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> 2. WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> (SIGNATURE) �/� ISIGNA_LIRE( <br /> — r: '. <br /> [$IG URE) � 15lGNATUREj - I 3. DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE NEAR SPACE? <br /> (SIG TUAEI ISIGNAT EI 4. WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> [SIGNATURi} SIGNATURE: TITLE: <br /> (SIGNATURE) !� •96-- <br /> Na e: All water Containers to be sampled for TPHGIBTEX, 8010&8240 are preserved with HCL. All water containers to ha sampled for Lead or Metals are prase ed with HNO3. All ether containers are <br /> unpreserved. <br />