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© SERVICES,INCORPORATED ' 'ro <br /> —p �' <br /> CHAIN OF CUSTODY `�`� � " ''" <br /> 2401 Stanwelt Drive,Suite 400 <br /> Concord,Calilornia 94520 <br /> Tel:(5101602-5100, Fax:(510)689.1918 <br /> SAMPLER UNOCAL--r6P))Tz ANALYSES REQUESTER <br /> SIS # S` TURN AROUND TIME: <br /> CITY: <br /> VARTKES TASHDJTAN /l <br /> WITNE5SIN13AGENCY <br /> ADDRESS; Com• /ce'� mC? r {7 I <br /> SAMPLING 0 o 4 q REMARKS <br /> SAMPLE ID NO. DATE TIME WATER GRAS COMP NO.OF CONT. LOCATION N Q N Q H oo U <br /> A1[�J /. 9���1�t, Air I x X x V& -91 t✓ d 09 `�08 -G <br /> " <br /> Z 7 i/ X,'ate -z av�> A X 09 ti09 -n <br /> �cJ �M x <br /> 091 2i3O <br /> I�IJ � T g,Li <br /> b091211 <br /> 09 212 <br /> x Ix <br /> Pei � t.� 4 X X X 09 213 <br /> M z :.rte z x 09 '14 A. <br /> pq <br /> raw S 3..34 clX o9 X15 <br /> PAI • <br /> osih <br /> RELINQUISHED BY: /DATEITIME RECEIVED BY: DA/TEpITIME THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES: <br /> 1. HAVE AL1 SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? � <br /> ass <br /> 2, WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? VIE <br /> ISIGNATUREI — �_S�1D ISIGNATUREI �'l(� <br /> 1SIGNAT , <br /> {SIGMA R /' ,y5 3, DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? ""'f'l <br /> 4. WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> {StGNATUREI (SIGNATURE) <br /> I <br /> ISIGNATURIEI (SIGNATURE) SIGNATURE: TITLE: - ATJE,�y <br /> • i <br /> o e: All water containers to be sampled for TPHGIBT EX. 8010&8240 are preserved with HCL. All water containers tgbe sampled for La ad or Metals are presorved with HNO3. All other containers era <br /> unpreserved. <br />