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U <br /> SERVICES INCORPORATED • J <br /> 2401 Stanwalt Drive,sults 400 CHAIN OF CUSTODY <br /> Concord,California 94520 <br /> Tel (510)602-5100, Fax (510)689-1918 <br /> I <br /> SAMPLER UNOCAL ANALYSES REQUESTED <br /> I to <br /> VARTKES TASHDJIAN 5/s .5-o?'F cITM S `� TURN AROUND TIME: <br /> WITNESSING AGENCY ADDRESS _360 <br /> I <br /> p� 41 t>y C7 o cQ <br /> SAMPLING Ak 0 c REMARKS <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION �-1 (,(} �! A H 00 <br /> 1.Je,l <br /> PP <br /> HIJ <br /> /9 !3 AM <br /> AM X <br /> N1lJ 1 S— )C <br /> MLJ 1C� L,o+ x zcry <br /> pig x X X 9-i 'JL a <br /> x X X <br /> RELINQUISHED BY DATE/TIME RECEIVED BY DATEITIME THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> G 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> ISIGNATURE) H/llri�� r 7;611E 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> d <br /> (SIGNATURE) (SIGNATURE) 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? -P <br /> [SIGNATURE) (SIGNATURE) 4 WERE SAMPLES I APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> ISIGNATURE) ISIGNATURE) SIGNATURE TITLE `( � DATE.��. <br /> Jt 1 7 <br /> Yoto All water containers to be sempied for TPHG/BTEX, 8010& 8240 are preserved with HCL All water containers to be sampled for Lead or Metals are preserved with HNO3 All other containers are <br /> unp►eserved <br />