Laserfiche WebLink
1M[PSERVICES INCORPORATED •401 Stanwell Drive,Suite 400 CHAIN OF CUSTODY <br /> Concord,California 84520 <br /> Tel (510)602-5100, Fax.(510)689-1918 <br /> SAMPLER UNOCAL. 1 ANALYSES REQUESTED <br /> VARTKES TASHDJIAN SIS # 5y q$ CITY S 7U C n TURN AROUND TIME: <br /> WITNESSING AGENCY ADDRESSPq to <br /> SAMPLING a E-1 Ak " 0 co REMARKS <br /> SAMPLE ID NO DATE TIME TE 68 COMP NO OF CONT LOCATION E-I go H a [! pip <br /> MW 6/71ls� X y- z �� �,� X 5061985 <br /> Mildz 3 zt <br /> �,� � � -� � x 6061986 <br /> Mwr � 10 ' X x <br /> 5061988 <br /> Pltkf l 4 �A-M n� x x Y X 5061989 <br /> Z',4) u X 4 It- x 5061990 <br /> RELINQUISHED BY DATE/TIME 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 IC ?�'y <br /> ✓ 7%x, / 6/2/ rr� �� �iY <br /> ASIGNAR /U (SIGNATURE) �t I WILL SAMPIEs REMAIN REFRIGERATED uNTll ANALYZEDr <br /> 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> (SIGNATURE) l <br /> (SI—GN ATUR (SIGNATURE) 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> (SIGNATURE) (SIGNATURE) SIGNATUR TITLE AT <br /> o • All water containers to be sampled for TPHGIBTEX, 8010& 8240 are preserved with HCL All water containers to be sampled for Lead or Metals are preserved with HN03 All other containers are <br /> unpreserved <br />