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M P Services, Inc. <br /> 2401 Stanwell "0' Suits 400, Concord. CA 94620 <br /> T <br /> TSI (6101 602 6120 Fax (6101 689 1918 <br /> CHAIN OF CUSTODY <br /> SAMPLER UNOCAL ANALYSES REQUESTED <br /> VARTKES TASHDJIAN SIS # ?-! CITY - TURN AROUND TIME <br /> LL <br /> WITNESSING AGENCY ADDRESS _> 4, <br /> X c ,� o <br /> SAMPLING a H a O REMARKS <br /> SAMPLE ID NO DATE TIME �IA-iiA COMP NO OF CONT LOCATION h m I— {� <br /> � ��„ 7 ��l�frl�y �r M X X 4•�,��r �Ictl k 40919-12 <br /> THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> RELINQUISHED BY DATElTIME REC 11`D 'J 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> � ff <br /> I T 1 )SIGNATURE) K�� 2 WILL SAMPLES REMAIN REFRi RATED UNTIL ANALYZED? <br /> X29 9 <br /> {SIGNA U 3 SIGNATURE) 7 DID ANY SAMPLES RECEIVED I �A LYSIS HAVE HEAD SPACE? <br /> V�- <br /> ISIGNATURE) {SIGNA URE1 4 WERE SAMPLES IN APPROPRIATE C TAINERS AND PROPERLY PACKAGED? <br /> {SIGNATURE) ISIGNATUREI SIGNATURETI LE D T <br />