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PA P D Services, Inc. <br /> 2401 Stanwell DrivAWte 400, Concord, CA 94520 <br /> Tel (5101 602 5120 Fax (510) 6891910 _ <br /> CHAIN OF CUSTODY 62 ` <br /> SAMPLER ANALYSES REQUESTED - <br /> TOSCO y» '� <br /> !l STK TA�h'J I4It) S/S # 5"U" o CITY s'7 e/-1D-n TURN AROUND TIME <br /> WITNESSING AGENLY ADDRESS 4TU/ /1J <br /> v y <br /> SAMPLINGREMARKS <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION <br /> G'uh s 1,-Jz.i X X y 1709C242 <br /> M W Z z /0N ' �( x `�- ?< u 09243 <br /> 3 � <br /> 7090244 ` <br /> Nw � PNI X Y X x <br /> 709024!j <br /> X 09 240 t <br /> 7090247 €) <br /> AMS X '709 248 , <br /> 317? <br /> �!w <br /> 6P t f'�r X r X X X 09 49 }} <br /> 090 5n � I <br /> �lc1J 7 lb � ° X X 09 251 <br /> /z L/ 1 !� , �/�, ?09T52 1 <br /> RELINQUISHED BY DATE/TIME RECEIVED BY DATEITIME 711E FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES f <br /> 9/z/ <br /> I HAVE AIL SAMPLE 5 RECEIVED FOR ANALYSIS BEEN STORED OM ICE? v ` <br /> (SIGNATURE) Xf 2 �/ (SIGNATTinE) . 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> (SIGNATURE) ISIG U 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? X—J <br /> (SIGNATURE) {SI 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> (SIGNATURE) (SIGNATURE) SIGNATURE .I''/I" _y,L�� ,__7 TITLE/ DATE <br />