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LDQ SERVICES INCORPORATED <br /> 2401 Stanwell Drive,Suite 400 CHAIN OF CUSTODY <br /> Concord,California 94520 <br /> Tel (510)602-5100, Fax (510)689-1918 <br /> SAMPLER UNOCAL ANALYSES REQUESTED <br /> ` ►1a. SIS # &T CITY Z-0 A-/ TURN AROUND TIME <br /> WITNESSING AGENCY ADDRESS G4• 2� <br /> SAMPLING REMARKS <br /> SAMPLE ID NO DATE TIME WATER GRAS COMP NO OF CONT LOCATION <br /> RELINQUIS D BY DATE/TIME RECEIVED BY DATE/TIME THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SA MP S FOR ANALYSES <br /> 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> (SIGNATURE) u` (SIGNATURE} 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? y <br /> (SIGNATURE) (SIGNATURE) 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? l _ <br /> (SIGNATURE) (SIGNATURE) 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? ` <br /> (SIGNATURE) SI 1 J� SIGNATUR TITLE DATE <br /> Note All water containers to be sampled for TPHG/BTEX, 8010&8240 are preserved with HCL All water containers to be sampled for ad or Metals are preserved with HNO3 All other containers are <br /> unpreserved <br />