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0 • <br /> © I <br /> D SERVICES INCORPORATED CHAIN O F CUSTODY <br /> 2401 Stanwell Drive,Suite 400 <br /> Concord,California 94520 <br /> Tel (510)602-5100. Fax.(510)689-1918 <br /> ANALYSES REf1UESTED <br />� SAMPLER g� A� CITY Sf � n TURN AROUND TIME: <br /> $ � <br /> VARTKES TASHDJZAN fQ r_ <br /> �C I a <br /> wITW451 AGENCY ADDRESS, '13 �' PQ <br /> WN N 0 <br /> SAMPLING pa N a 0-4 O c REMARKS <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION Ei A H A H Go <br /> u 2Jcl y�' lvv 02 403 <br /> COs <br /> 4 Z x 02 404 <br /> U '2, �H ,u X <br /> X 602 405 <br /> U �f 0Ho k 7 ti X 602 406 <br /> s /,N3z x x 7 X 602110407 <br /> X t X &02( 4081 <br /> U � <br /> u �c' X u t X G0204091 <br /> rM <br /> 602 410 <br /> RELINQUISHED BY DATE/TIME ECEIVED BY. DATE/TIME THE FOLLOWING MyST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FDR ANALYSES <br /> t HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICEI <br /> P-1 aCb 14J. <br /> 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZEDI <br /> /SIG TUBE) r U {SIGN TURF} /310 r` <br /> a DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HERO SPACE? �V <br /> f$1GNATURE) {SIGNA URE} <br /> 4 WERE SAMPLES IN ROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> {SIGNATURE) iSIGNATURIrI <br /> (SIGNATURE) ISI NA ?RE) <br /> J� I S va <br /> SIGNATURE, TITLE �� DATE. a�,lq <br /> Note All water containers to be sarnpled for TPHGIBTEX, 8010& 8240 are preserved with HCL All water containers to be sampled for Lead or Metals are preserved with HNO3 All outer Containers are <br /> unpfeserved <br />