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SERVICES INCORPORATED IR <br /> �p _ <br /> 2401 Stanwell Drive,Suilo 400 CHAIN OF CUSTODY <br /> Concord Caldornla 84520 <br /> Tel (510)602-5100, Fax (510)889-1918 <br /> SAMPLER UNOCAL ANALYSES REQUESTED <br /> VART'KES TASHDJIAN SIS # 5-098 CITY � c-� n TURN AROUND TIME' <br /> rn � <br /> WITNESSING AGENCY ADDRESS Y606 pa4l J C <br /> Gs] I» rn O <br /> SAMPLING Is, H Al O <br /> SAMPLE ID NO DATE TIME WATEA GRAS DAMP NO OF CANT LOCATION �I (� H A H REMARKS <br /> RELINQUISHED BY DATEITIQME RECEIVED BY D`ATEITIME THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SA PLES FOR ANALYSES <br /> ` 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> i ,vx� <br /> (SIGNATURE) fi�1,4L I 1 rl�� 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> o <br /> (SIGNATURE) (SIGNATURE) 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? N� <br /> (SIGNATURE) (SIGNATURE) 4 WERE SAMPLES IN PPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> (SIGNATURE) (SIGNATURE) SIGNATURE TITLE s} DATE <br /> I <br /> Nos All water containers to be sampled for TPHGIBTEX, 8010& 8240 are preserved with HCL All water containers to be sampled for Lead or Melals are preserved with HNO3 All other Containers are <br /> unpreserved <br />