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M P D V Services, Inc. <br /> 2401 Stanwell Drove, Suits 400,Concord, CA 94520 <br /> Tel 15101 802-5120 Fax (5101 889-1918 <br /> CHAIN OF CUSTODY <br /> SAMPLER UNOCAL I[ ANALYSES REQUESTED <br /> VARTKES TASHDJIAN SIS # Z 8 CITY TURN AROUND TIME <br /> _ U) N <br /> WITNESSJNG AGENCY ADDRESS f C� Ra.C l A F elAl-k Q to <br /> Ch x O <br /> SAMPLING H a o � REMARKS <br /> SAMPLE 1D NO DATE TIME AT A COMP NO OF CONT LOCATION <br /> 14tt! BIiz�4�F �� ss z Jd�� McJ <br /> a M X X 4080913 A <br /> Mllj Z Z ; ; X X - `` X 4080914 <br /> McJ3 X 408091 <br /> . , <br /> A X `� X 4080916 <br /> mbar 17 lj:/Jr X `� 4 X 4080917 <br /> X Ix `� `' X 4080918 <br /> 1'KCJ - 4 iD:3o X Y Y }( 4080919 <br /> THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> I <br /> RELINW HED BY DATE/TIME p f�A RECEIVED BY 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> P L g l <br /> (SIGNATURE) (SIGNATURE} Slj j, ' 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> (SIGNATURE? ISIGNATUREI 3 IO ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> Y—'C=-'� Isgy ati No <br /> ISIGNATUREI +�� r /^, (SIGNATURE) 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> ISIGNATUREI (SIGNATURE) SIGNATURE TITLE DATE <br />