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© 24I <br /> SERVICES INCORPORATED CHAIN OF CUSTODY 9512454 <br /> 01 Stanwell Drive,Suite 400 <br /> Concord,Cahtornla 84520 <br /> Tel (510)602-5100. Fax.(510)689-1816 <br /> ANALYSES REQUESTED <br /> SA,,,PU„ urvocAl_ TURN AROUND TIME' <br /> SIS # -Vo 7;' CITY S ,c kfv <br /> VARTKES TASHDJIAN m C-,- <br /> wttasslNG AGENCYfIQ r <br /> ADDRESS ' 66 6 la r/-c� r__ <br /> f bC I CD <br /> SAMPLING p, H F+ � O p REMARKS <br /> SAMPLE ID NO <br /> DATE TIME WATER GRAB COMP NO OF CONT LOCATION I.1 Q H A H o0 <br /> s I lz/04�' `r�� k X / 11j4 x i122236 <br /> z ``fes k x <br /> 12Z937 <br /> FS 3 12 2a8 <br /> RELINQUISHED BY. DATEITIME RECEIVED BY DATEITIME E FOLLOWING MUST Qj COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> rz� l� <br /> HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> 6 ; ; 11-15 <br /> / 4 ) <br /> 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> ISIGNATU <br /> IS1GREr <br /> Z z1 �yy /irje-v <br /> 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> 1Z •--•�� <br /> ISIGNATURE) (SIG N �U LG <br /> t <br /> (SIGNATURE) 4 WERE SAMPLES W APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> (SIGNATUREI <br /> (SIGNATURE) SIGNATURE TITLE 1 DATE. <br /> (SIGNATURE) cwt•✓ i r 1 Z r`� <br /> Hats All water containers to be sampled for TPHGIBTEX, 8010& 8240 are preserved with HCL All water containers to be s pled for Lead or Metals are preserved with HNO3 All other containers are <br /> unpreserved <br />