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r <br /> ED SERVICES INCOHPORATf=D0 0 <br /> � <br /> 2aOf Stanwell DrIve,Sidle 400 CHAIN OF CUSTODY <br /> Concord,Cahlornia 94520 <br /> Tel (510)602-5100, F=(610)689-1918 <br /> ANALYSES REQUESTED <br /> SAMPM SCIS #A �/�� CITY ��c-�-/-C n TURN AROUND TIME: <br /> VARTKES TASRDJIAN y <br /> 49 <br /> WITNFSSM AGENCY ADDRESS. , �' �� `A 0 Aa <br /> SAMPLING W N 1:1.1 O o REMARKS <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION H 00 <br /> ES 1 jr/�'l9� � ,�� X X l ✓ / X1�l1 1'18 <br /> ES Z rA X x !(Y ��7 09 <br /> E � 3 RMy u x w x <br /> 5111010 <br /> r . <br /> THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALY665 <br /> RELINQUISHED BY. QATE/TIME RECEIVED 9Y. DATEITIME <br /> ) 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? e-z <br /> S12 19 Z5 o <br /> (SIGN ) 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> lSl NATO EI O ISIGNATU E) 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? �^D <br /> {SIGNATURE) (SIGNATURE) 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> (SIGNATURE) ISIGNATURE) SIGNATURE: TITLE., Q T <br /> a- II <br /> ats erved with HCL All water containers to be sampled for Lead or Metals are preserved with FIN03 All other containers are <br /> A!1 water containers to be sampled for TPHGII3TEX, 00 10& 8240 are pro <br /> unpfesarved. <br />