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M P D f& Services, Inc. CHAIN O FS T O D Y <br /> r <br /> 2401 Stanwell Dn ,te 400, Concord, CA 94520 " 0 <br /> Tel (510) 602-5120 Fax {510} 689-1918 �oq <br /> SAMPLER UNOCAL ANALYSES REQUESTED <br /> V4,C Tf(4 S T4.r#J- ,v SIS # d/ CITY S 7c,��n TURN AROUND TIME <br /> WITNESSING AGENCY ADDRESS 3 E Akptr A✓e uy �` Qr <br /> SAMPLING a,+ }' REMARKS <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION Cfj� <br /> PM X X Z v,,4.4, w,d X X 7050162 <br /> u 2 //,M X X It X 7050163 <br /> u 3 14 PM r X X ti X 70.54164 <br /> u -t X X Ir K X 'SOS 165 <br /> �r s ID 1 1 X x t X X '70S 166 <br /> u ti M X )C X X T0501LG7 <br /> r✓t 1zz� X X 4 X X '705 168 <br /> X X 170501169 <br /> THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> RELINQUISHED BY DATEITIME RECEIVED BY 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> (SIIG//NATURE► ! ISIGNATUREI J 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> (SIGNATURE) 119-4- (SIGNATURE) 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> "" <br /> (SIGNATURE) (SIGNATU E4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> [SIGNATURE► {SIGNAT REl SIGNATURE TITLE DATE <br /> &InL 52 <br />