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M P ? Services, Inc. tl € CHAIN OF OPSTODY , <br /> 2401 Stanwell Suite 400, Concord, CA 94520 <br /> Tel (5101 6 2!-5 20 Fax (510) 689-1918 <br /> SAMPLER UNOCAL f ANALYSES REQUESTED <br /> I/4,e T�eS <br /> SIS # 6/e CITY SkC-t7l3D, TURN AROUND TIME <br /> I��N 71A-n1 ' <br /> u <br /> WITNESSING AGENCY ADDRESS �.3�' 6- r-"-ar ,z4f-;_ Vo X � <br /> SAMPLING �ttLREMARKS <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION ^ Z <br /> U l �' x z �� 4 �� X X '70� i53 <br /> ref 3 Y N X �< x I x 1708 15q <br /> PNS X X <br /> 708 I5 <br /> U g X -L X X 7080-15 <br /> x X 708 15 <br /> uPM Y, Y X X 70 ills. <br /> X X k 708016 <br /> P� <br /> THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> RELINQUISHED BY DATE/TIME RECEIVED BY 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> V <br /> tSIGNATURH �' r 7 n (SIGNATURE) 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? V <br /> (SIGNATURE) _ar (SIGNATURE) 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> �! s <br /> ISIUNATURF] ISIGN 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> J '�.C� <br /> ISIGNATUREI G � G URE] SIGNATURE TITLE DATE <br /> t C <br />