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ED TSERVICES,tw"PORAED <br /> CHAIN OF CUSTODY <br /> 2401 Stanwell Drlve,Suite 400 <br /> Concord,California 94520 <br /> Tei:(510)602-5100, Fax:(510)689-1918 <br /> SAMPLER UNOCAL ANALYSES REQUESTED <br /> SIS I 6 C' S' CITY: TURN AROUND TIME: <br /> VARTKBS TASHDJIAN <br /> u <br /> wITNtEtiiWQAGENCY ADDRESS: EC/ It' tfl�ll� c, <�1E I p4 h. li <br /> to c <br /> SAMPUNG poi F a � O W REMARKS <br /> SAMPLE ID NO. DATE TIME COER PAO COMP NO.OF CONT, LOCATION H 04 H A H 00 U <br /> 4 I <br /> /Z,7 <br /> i -� JLIJ <br /> o <br /> pw <br /> 31Zy191 ` 14`� K �n <br /> c IV x <br /> RELINQUISHED BY: DATEITiME RECEIVED BY: DATEMME THE FOLLOWING MtJSTB COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES; <br /> 1. HAVE ALL SAMPLES RECVAD FDR ANALYSIS BEEN STORED ON ICE? �LS <br /> Z, WILL SAMPLES REMAIN REFRIGERATED UNT L ANALYZED? <br /> GNATU o 3C) ISI NAT ]r L r <br /> {SIGNAT E1 1. DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> ISiG TUBE) /� -it27] <br /> L4_�t l ��L c 4..E k 13 L(2 <br /> (SIGNATUREI <br /> 4. WERE SAMPLES W ATE CONTAINERS AND PROPERLY PACKAGED? <br /> {SIGNATURE r '? <br /> (SIGNATURE) {5kGNATURE)i SIGNATURE: ,�,f - �, TITLE:' ?' DATE: <br /> a � . <br /> rnt� 010 k� 40 era preserved with HCL. All water containers to be sampled for Lead or Metals are preserved with HNO3. All other Containers ars <br /> A11 water contair►era to be sampled for TPHGIBTEX, 8 <br /> unpresarved. <br />