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I <br /> • SERVICES.INCORPORATED <br /> EM[ 2401 Stanwell Drive,Suite 400 CHAIN OF CUSTODY <br /> Concord,California 84520 <br /> Tel:(510)602-5100, Fax:(510)609-1918 <br /> SAMPLER UNOCAL ANALYSES REQUESTED <br /> VAR'fKES TASHDJTAN <br /> S1S # '5-1/21 Dln: S fa c/L 0'-' TURN AROUND TIME: <br /> V] <br /> 0 Rte_ la WITNESSING AGENCY ADDRESS: -3'a /mac ' `��• I>� I <br /> SAMPLING N H N Co REMARKS <br /> TE <br /> SAMPLE ID NO. DATE TIME AR R 4` COMP NO.OF CONT. LOCATION H Q EM A N Qp <br /> !til <br /> i 11 <br /> tV /. .S3 C r 12�� X x 5060.92 E <br /> 2 VOA, X ��0 (P 0 q -� <br /> �TX 5060594 <br /> 5060595 <br /> 7-6 x 5060596 <br /> RELINQUISHED BY: pATE/TIME RECEIVED BY: DATE/TIME THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR AN <br /> 1. HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? P <br /> {SIGNATURE{ (SIGNATURW Z. WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? / <br /> (SIGNATUREI ISUR L DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? V`� <br /> N <br /> (SIGNATURE) SIGNATURE) 4. WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> rIGNATURI) JISIGNATURE) SIGNAT RE: TITLE: AT <br /> Na e• All water containers to be sampled for TPHGIBTEX, 8010&8240 are preserved with HCL. All water containers to be sampled for Lead or Metals are preserved with HNO3. All other container$are <br /> unpreserved. <br />