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0 <br /> CHAIN OF CUSTODY <br /> SAMPLER TOSCO ANALYSES REQUESTED <br /> I TURN AROUND TIME <br />� SIS # s�� CITY S G�'�r <br /> 1/jl.e T,CES T,4 S;l T Ir9�t! �� 4 ic <br /> WITNESSING AGENCY ADDRESS !t <br /> SAMPLING l�l +ti REMARKS <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONP LOCATION m -Z <br /> ;Z' y x 3I t6 41 1 fie✓ wdP 705 2,07 <br /> %J q <br /> V <br /> c <br /> RELINQUISHED BY DATEITIME RECEIVED BY DATE/TIME THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> 1 IlAVE ALL SAMPLES RECCIVCD FOR ANALYSIS BEEN STORED ON/CET t <br /> (SIGNATURE) (SIGNATURE) l�3 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED �/2{ <br /> (SIGNATURE) J IG R DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAP SPACE? <br /> S 1560 <br /> (SIGNATURE) 1 IGN T ) 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> (SIGNATURE) (SIGNATURE) SIGNATURE TITLE DATE <br /> Note All water containers to be sampled for TPHGlBTEX, 8010 & 8240 are preserved with HCL All water contamerS to be sampled for Lead or Metals are preserved with HNO3 All other containers are <br /> uapre erved <br />