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© SERVICES INCORPORATED 0 <br /> 2401 Stanwell Drive,Suite 400 CHAIN OF CUSTODY <br /> Concord,California 94520 <br /> Tel (510)602-5100, Fax(510)689-1918 <br /> SAMPLER UNOCAL ANALYSES REQUESTED <br /> VARTKES TASHDJIAN SIS # 04 ? CITY S�� �'_�_ TURN AROUND TIME: <br /> WiTNESSIND AGENCY ADDRESS YW <br /> i�i O <br /> SAMPLING ow H pw•i 0 DATE c REMARKS <br /> IM <br /> SAMPLE ID NO TIME COMP NO OF CONT LOCATION IM [I A [I pp <br /> �B [I <br /> U <br /> f. ��/'1 �„,�r yc n� ^e4 AIR <br /> ,a.� <br /> r ;nc ^SCJ <br /> r X X y <br /> RELINQUISHED BY DATE/TIME RECEIVED BY D <br /> ATE/TIME THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> 2 C cmc 1 7�O <br /> 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> ISIGNATU E) GNATUR 1 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? ` <br /> /SIG E} 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? /10 <br /> (SIGNATU iSrGNATUREI 4 WERE SAMPLES W APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> (SIGNATURE} (SIGNATURE) SIMRE TITLE DATE <br /> L I l��G/ f Lr <br /> ate All water containers to be sampled for TPHG/BTEX, 8010& 9240 are preserved with HCL All water containers to be sampled for Lead or Metals are preserved with HNO3 All other containers are <br /> unpreserved <br />