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M P D S Services, Inc. <br /> 2401 Stsnweli Dime. Swte 400,CGMOFd, CA 94620 <br /> Tel. 15101 602 5120 Fax 16101 689-1918 <br /> CHAIN OF CUSTODY <br /> AMPLER UNOCAL ANALYSES REQUESTED <br /> VARTKES TASHDJIAN SIS # 7�-- CITY, LC 0 TURN AROUND TIME <br /> Ill 1� <br /> PA <br /> WITNESSING AGENCY ADDRESS ���>1� �G7 c,l i_1 ✓� ' Q w � , <br /> C7 K p O O <br /> SAMPLING d IF-wd 0 00 REMARKS <br /> SAMPLE ID NO DATE TIME COMP NO OF CONT LOCATION M IYI <br /> MW VO4% M u! X <br /> AlWZ 3. X X Ix <br /> ID <br /> x <br /> Mtj4. <br /> LL <br /> THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> RELINQUISHED BY DAT !TIME RECEIVED BY 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> r :7 23R 6 UL'� { <br /> IS NATUREJ 4SIGNATUREI 2 WILL$A LES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> 4SIGNATUHE) ISiGNATURE) 3 DID ANY AMP S RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> ISIGNATURLJ ISIGNATUREJ 4 WERE AMPLES IN APPRDPRIATE CON1AINEHS AND PROPERLY PACKAGED? <br /> y ISIGNASUkLI (SIGNATURE) SIGN ) � TITLEn I} DATE <br /> J � <br /> F _ � <br />