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i <br /> © SERVICES INCORPORATED (l a <br /> �- CHAIN OF CUSTODYI� 8�Cr <br /> 2401 Stanwell Drive,Suite 400 <br /> Concord.California 94520 <br /> Tel (510)602-5100, Fax.(510)669-1818 <br /> SAMPLER UNOCAL LL ANALYSES REQUESTED <br /> SIS # Z�'S�7 CITY �7L e TURN AROUND TIME. <br /> VARTKES TASHDJTAN y <br /> WITNESSING AGENCY ADDRESS' <br /> (*� O <br /> SAMPLING a H a O o REMARKS <br /> SAMPLE ID NO DATE TIME WATER GRAB I COMP NO OF CONT LOCATION E-i [I Q EI 00 <br /> .�1W� �°f 16�4,' IZ,��" � x 7. ✓� 9� �1��� X 50820G2 � <br /> MGJ 5082063 <br /> t <br /> 5082064 <br /> 13 L <br /> RELINQUISHED BY. DATEITIME RECEIVED BY' DATEITIME THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? ' <br /> {SIGNATURE) ISIGNATUREI 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> (SIGNATURE) (SIGNATURE) 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? VL U <br /> {$IGNATURE) (SIGNATURE) 4 WERE SAMPLES W APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> (SIGNATURE) ISl A E SIGNATUR �`, % TITLE' V-\- DATA <br /> e e• All water containers to be sampled for TPHGlBTEX, 8010 111 8240 re arved with HCL All water containers to be sampled for Lead Or Metals are preserved with HNO3 All other containers are <br /> Wtpreserved. <br />