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SERVICES INCORPORATED <br /> LL-D[p7j CHAIN OF CUSTODY 07 Stanwell Dave,Suds 400 <br /> Concord,California 94520 <br /> Tel (510)602-5100, Fax.(510)689.1918 <br /> ANALYSIS REQUESTED <br /> so" SNS #AO�� �' CITY S76 c 061D nto . TURN AROUND TIME: <br /> VARTKES TASHDJIAN <br /> CL er- <br /> WIT <br /> NESSINO AGENCY ADDRESS' I �' I N <br /> a <br /> SAMPLING a H a O ; REMARKS <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION [I E"I Q F 00 <br /> I'v� L✓ / X IL �9R? <br /> :/ X X n 5 m 60 <br /> U 3 Pm X X x mal 61 <br /> P/ X x ti X 111 02 <br /> U 'AM X 7 I 63 <br /> U (o r //1y ' X X X 111 64 <br /> U 7 X Ir x 111 65 <br /> x 5 111466 <br /> uti P` sir 116X � � `� X 5 17 <br /> RELINQUISHED BY. DATEITIME RECEIVED BY, DATE/TIME THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES. <br /> 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON)CET <br /> t� sT 19� <br /> {SIG // 9 yj2 )SIG ATURE) 1 Z WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> Z riSi-- U E} 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> ISI NATURE.) r <br /> (SIGNATURE) (SIGNATURE) 4 WERE SAMPLES W APPROPRIATE CONTAINERS AND PROPERLY PACKAGE O? lAeP <br /> (SIGNATURE) (SIGNATURE) SIGNATURE• TITLE 1�PATP� <br /> Note,- All water container&to be sampled for TPHGIBTEX, 6010& 8240 are preserved with HCL. All water containers We sampled for Lead or Metals are preserved with HNO3 All other containers ere <br /> O <br /> unpreserved <br />