Laserfiche WebLink
0_ ,:. <br /> n I <br /> ]�-Slanwfill <br /> SERVICES,INCORPORATED s 51.. ;CHAIN OF CUSTODY ' ` ' 4.Drive, Suite 400 <br /> Concord.Catilornia 94520 <br /> Tel:(510)602.5100, Fax:(510)689.1918 <br /> SAMPLER UNOCAL.- F6,CM&-RANALYSES REQUESTED <br /> VARTKES TASHDJIAN <br /> 51S # h of-s- CITY: L cc� �• TURN AROUND TIME: <br /> WITNESSING AGENCY <br /> ADDRESS: 4 / �• J��ff P�►�C r �sI_ U' W <br /> Q <br /> SAMPLING a H a 1-4 O REMARKS <br /> SAMPLE ID NO. DATE TIME WATER GRAB COMP NO.OF CONT. LOCATION E4 M E-+ A E-4 00 <br /> 9/r��9, ``:? 41 X / IID �( 509 211 <br /> PM <br /> 09 218 <br /> 509 219 <br /> RELINQUISHED BY: DATEITIME <br /> L ? <br /> RECEIVED BY: D}ATEM MEE THE FOLLOWING MU$T e COMPLETED BY THE L.A60RATORY ACCEPTING SAMPLES FOR ANALYSES: <br /> J J ig/9"/ t. HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? � <br /> 1755 <br /> /T�� �SIGIVe_�JRE) 2. WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> iSIGNATUREI <br /> (SiG URI) 9 . (SIGNATURE) Idly+ 3. DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? �T 93 <br /> (SIG TIiR 1 ISIGNAT E) 1- WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED <br /> (SIGNATURE( iSIGNATURE) SIGNATURE: .c�—. TITLE: ATE: <br /> Lir gJ� 9d <br /> H21m: All water containers to be sampled for TPHGIBTEX, 8010&8240 are preserved with NCL. All water containers to be sampled for Lead or Metals ars prase ed with IiNO3. All other containers are <br /> unpreserved. L- <br />