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M P Dlb Services, Inc. �� f f , a � � CHAIN OF. USTODY <br /> 2401 Stanwell Drive, Suite 400 Concord, CA 94520 <br /> Tel 15101 602 5120 Fax {5101 689 1918 <br /> Sf MPLER UNOCAL L ANALYSES REQUESTED <br /> SIS # ;J V CITY /(;C)7�111 TURN AROUND TIME <br /> WITNESSING AGENCY ADDRESS G C% E /C-k C_ I C <br /> .41 <br /> SAMPLING REMARKS <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION EC <br /> IG 4)3 VU A <br /> X ,X mm/ X X X 091 13 <br /> h1cJ ! 4 3' _r�' �( z ✓r, /V1091-114 <br /> � c � X X y X 1091415 <br /> tow /3 �c y� x 4 091 X16 <br /> L)6,0,5 .� �1 X X 091 s1A <br /> M 1411 4 r13 A <br /> I' <br /> tj <br /> 1t I <br /> s� <br /> i= <br /> THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> RELINQUISHED BY DAT EITIME RECEIVED BY 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> (SIGNATURE) L� �(� S {SIGNATURE) 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> i <br /> (SIGNATURE) )lot ISIGNATUREI 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> t•ti l� �� I� 1 J �r ry t+l�� <br /> (SIGNATURE) ISIGNATUREI '� 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? . <br /> OIL <br /> (SIGNATURE► NATURE) SIGNATURE TITLE DATE <br /> U <br /> 1 11' <br />