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M P D 10 Services, Inc. * i <br /> 2401 Stanwell Drive,Suits 400, Concord, CA 94520 <br /> Tel [610) 602 6120 Fax 1610) E89-1918 <br /> CHAIN OF CUSTODY <br /> SAMPLER UNOCAL ANALYSES REQUESTED <br /> STEVE BALIAN SIS # .0y8 CITY T IN A C�y TURN AROUND TIME <br /> LU <br /> WITNESSING AGENCY ADDRESS 3 788 TR,4C.y _ 8L.UD a w R r_G v L q R <br /> C7 K C7 O <br /> SAMPLING a LU x O O REMARKS <br /> SAMPLE 10 NO DATE TIME WATFR GRAR COMP NO OF CONT LOCATION cacc <br /> ivlw _ j 9.9-9y /0 00 V wEa X 4090937 <br /> Au} _ (A 3o x X X 4090938 <br /> Ail-' - .3A 10 55- X X X 4090939 <br /> iu VU 45- X Xi 4 09n.940 <br /> THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> I � <br /> RELINQUISHED BY. DATE/TIME RECEIVED BY (}� 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> Xje V do Qc �t q t c% <br /> (SIGNATURE) (SIGNATURE) 2 WILL SAMPLES REMAIN REFRIGE ED UNTIL ANALYZED? <br /> ISIGNATUREI ISIGNATUREI 3 DID ANY SAMPLES RECEIVED FOR A14ALYSIS HAVE HEAD SPACE? <br /> U L) <br /> ISIGNATUREI ISIGNATUREI 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> ISiGNATUREI ISIGNATUREI 51G,P�TUFiE/ `rf TITLE_ DATE <br /> t" <br />