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M P D * Services, Inc. CHAIN OF OSTODY <br /> 2401 Stanwell Drive, Suite 400, Concord, CA 94520 (3`� <br /> Tel 15101 602-5120 Fax (510) 689-1918 i <br /> SAMPLER UNOCAL J ANALYSES REQUESTED <br /> t/cL,f flee s 74.r Aj/a0 SIS # Q/ '9 2: CITY .SA GAA TURN AROUND TIME <br /> WITNESSING AGENCY ADDRESS �3 T C, /1/n a r „ /Swti 'b S( <br /> SAMPLING <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION �U REMARKS <br /> u z 4 /z -I?- X <br /> PA! -� X X 70404011("S <br /> 3 IDA( >( I/)( X 7 oz .c4-J9 <br /> U L/ z, OZ X <br /> i_k X x X 1014 • 63;0 <br /> ` U S 'r_ x X X X '7U x:31 <br /> L i i9-W X X 70A 1632 <br /> X7 X <br /> PM )KT X '7O 433 <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 /> /SIGNATURE/ 't:2 -i�-3 7 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> {SIGNATUR ,a L/_ (SIGNATURE) 3 DID ANY SAMPLES RECEIVED FOR ANALYSES HAVE HEAD SPACE? <br /> ISIGNAF Ef �a (SIGN 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED <br /> ISiGNATURE) (S NATURE) SIGNATURE T TLE DATE <br />