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n�' r 5ERVICEBINCORPORATED 0 <br /> `�u 2401 Stanwell Drive,Sults 400 CHAIN O F CUSTODY <br /> Concord,California 94520 9608219 <br /> Tel (510)602_5100, Fax(510)W9-1918 <br /> SAMPLER UNOCAL / ANALYSES REQUESTED <br /> VARTKES TASHDJIAN SIS N 2,?-S7 CITY• s1UG"e0" TURN AROUND TIME: <br /> rA <br /> 4 A e ../9 <br /> WITNESSING AGENCY ADDRESS f 96i S1'02-t&1j'C /& a � t � <br /> SAMPLING a H a P-4 o <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION H M EI A H 00 REMARKS <br /> CIS 719AY� 901`40675 <br /> C--S Z z t k ()N 16716 <br /> RELINQUISHED BY DATE/TIME RECEIVED BY DATE/TIME THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> /9Z t(+N 11 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> r 'LJ� <br /> PC— <br /> (SIGNATURE) ! � (SIGNATURE} Cyt] 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> ! o fU <br /> (SIGNATURE) (SIGNATURE) 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> (SIGNATURE) ISIGNATUREI 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> tSIGNATURE) NA RF J. SIGNATURE; TITLE. DATE- <br /> ,¢ <br /> Note9V . - - <br /> All 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 /> unpreserved <br />