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D <br /> SERVICES INCORPORATED <br /> Q'IPCHAIN O F CUSTODY 9602169 <br /> 401 Stanwell Drive,Sade 400 <br /> Concord,California 94524 <br /> Tel (510)602-5100, F"(510)09-191a <br /> ANALYSES REQUESTED <br /> SAMPIA 5N5 #AL2 g�� CITY TURN AROUND TIME: <br /> VARTKES TASHDJIAN <br /> WITNESS1tr4 AGENCY <br /> ADDRESS, M.6-s" ���• <br /> � to <br /> SAMPLING f�+ H W P-6O 0 REMARKS <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION H H A H ao <br /> cs X r�a� X GGA u3� <br /> F s 3 �M r � <br /> RELINQUISHED BY: DATEITIME RECEIVED 8Y. DATE/TIME THE FOLLOWING M T e COMPLETED BY THE LABORATORY ACCEPTING SAMPLE 5 FOR ANALYSES <br /> 2��Fl� G 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> (SIG (SIG AT RE) c;(5 1 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? 7 <br /> [51 NLITU {SiGNATU F) 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> tj <br /> �/- ✓�� -(Es <br /> {SIGNATURE] (SIGNATURE} 4 WERE SAMPLES <br /> �WAPPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> (SIG T RE} 04 3S SIGNATURE r"""�'1, TITLE 0M DATE: <br /> (SIGNATURE) I <br /> ote Aft water containers to be sampled 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 /> unpreaerved. <br />