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Q]P7E)OSERVICES INCORPORATED01 Stanwell Drive,Suite 400 CHAIN OF CUSTODY <br /> Concord,California 94520 <br /> Tel (510)602-5100, 1ax.(510)689-1918 <br /> UNOCAL ANALYSES REQUESTED <br /> SAMPLER TURN AROUNO TIME. <br /> SlS # �!�' � CITY S Q�' ,C qAN <br /> VARTKES TASIi�.i IA1V � ,���,.,/4 <br /> y� F Mc n er a <br /> ADDRESS, �WITNESSING AGENCY rnIQ REMARKS <br /> Ili H P1 b-i0SAMPLE Ip NO GATE TIME WATER GRAB COMP NO OF CONT H I� H A H <br /> » 'zx / vj X 02 12 <br /> SM <br /> •r, z s ., X 02 413 <br /> FS 2 H <br /> �s 3 �,N� X X 0 414 <br /> RECEIVED BY. DATEITIME THE FOLLOWING MM 5T BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANA <br /> RELINCWSHED BY DATE/TIME <br /> LYSES <br /> l HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> L <br /> ISIGNA URE) 7� WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> (SIGNATURE) <br /> Z 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAP SPACE? <br /> (SIGNATURE} � (SIGNATURE) <br /> (SIGNATURE} <br /> J (SIGNATURE} 4 WERE SAMPLES APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> ISI N RE} I� o� SIGNATURE �, TITLE �� DATE: oz�4rae <br /> (SIGNATURE) , <br /> All other containers are <br /> Note All water container6 to be sarnplod for TFHG113TEX, 8010&8240 are preserved with HCL All water containers to be sampled for Lead or Metals are preserved with HNO3 <br /> +mpreserved - <br />