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M P D 9 Services, Inc. > ` <br /> 2401 Stanwell Dnve, Suite 400, Concord, CA 94620 <br /> Tel 1610} 602-6120 Fax [6101 689 1918 <br /> CHAIN OF CUSTODY <br /> SAMPLER UNOCAL ANALYSES REQUESTED <br /> VARTKES TASHDJIAN SIS # (0314 CITY TYef-CW TURN AROUND TIME <br /> WITNESSING AGENCY ADDRESS 3 g8 Tac B/✓a�. Q w <br /> x O O <br /> SAMPLINGmi a l'- IL D 0 REMARKS <br /> SAMPLE ID NO DATE TIME CAMP NO OF CONT LOCATION II- m <br /> M41 l� 10p <br /> M! Al 4060,12f;AL <br /> /f'r'o <br /> w 3,4 �z•Y� <br /> Y4 U 6 0 "7 <br /> 4060479 <br /> THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FDR ANALYSES <br /> RELINQUISHED BY DATE[TIME R EIVED BY 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> t d g 3::v F u{, 04-1 10 <br /> (SIGN TURF) (SIGNATURE 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> o-oirf z� <br /> 1516NATURE) ISIGNATUF 6 ID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> f �15 I ,C)O� 6" No <br /> {SIGNATURE) (SIGNATURE) 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> 1-(6-S <br /> [SIGNATURE) (SIGNATURE) SIGNRE., TITLE DATE <br />