Laserfiche WebLink
Illi P D S Services, Inc. ar- ALA ay4 . _ �� �, Ly)Us , I1 ' 41 � � CHAIN OF CUSTODY <br /> 2401 Stanwell Drive, Suite 400, Concord, CA 94520 <br /> Tel (510) 602 5120 Fax 15101 689 1918 <br /> SAMPLER UNOCAL. ANALYSES REQUESTED <br /> ✓9�T,CES T�4�'�lT��4-+� SIS # CITY Tracy TURN AROUND TIME <br /> WITNESSING AGENCY ADDRESS /03� rb2XP AAA <br /> � r <br /> SAMPLING + >h REMARKS <br /> SAMPLE ED NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION <br /> X "I 20. 69 <br /> 2- X `� X X X 71203" 0 <br /> h <br /> X )C z X X k x "70 "11 <br /> X X t X X k k "7120-372 <br /> THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> RELINQUISHED BY DATE/TIME RECEIVED BY 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> Y&S <br /> ISIGNATUREIi&g=� <br /> Z Z 9 SIGNATURE) 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> {/,a a,I -3 f S� ( 'f o <br /> (SiGNATURF] [SIG ATURE] 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> �`r� Mo <br /> ISIGNATUREI 2 (SMT 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> T 4es <br /> ISIGNAFURE] ATURE) SIGNAT RE, TITLE DATE <br /> aNNW '-Row <br />