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i <br /> ©I r <br /> n I <br /> SERVICES INCORPORATEO <br /> 2401 Stanwell Drive,Suite 400 CHAIN OF CUSTODY <br /> Concord,Cablornia 84520 <br /> Tel (510)602-5100, Fax.(510)689-1918 <br /> SAMPLER UNOCAL _ ANALYSES REQUESTED <br /> VARTKES TASHDJIAN S/S # 6IZ3 CITY TURN AROUND TIME. <br /> L AA//'� y <br /> WITNESSING AGENCY ADDRESS /o,354 �a� Tra,l �Y`a C7 I W eG /a r <br /> SAMPU14G rk EI a M o � <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION FI [1 A FI pop REMARKS <br /> 111111111 <br /> �:y} X ig�6�r �✓� X )( 6(�yU`i��:s <br /> P �( x x 609076-00 <br /> /X X 6090771 <br /> CN <br /> v L <br /> RELINQUISHED BY DATE/TIME RECEIVED BY. -��DATE/TIME THE FOLLOWING MAST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> 9 Ill J J�' (r rI44 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> (SIGNATURE) �I?i f,,, (SIGNATURE) 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? A <br /> Z�— <br /> (SIGNATURE) �'LiD ISIGNA URE} 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? +`� <br /> (SIGNATURE) ;SIGNATURE) 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? / <br /> 4SIGNATUREI (SIGNATURE) j SIGNATURE: TITLE DATE: { <br /> " 41[t* <br /> e All water containers to be sampled for TPHG/BTEX, 8010&8240 are preserved with HCL All water containers to be sampled for Lead or Metals are preserved with HNO3 All other containers ars <br /> unpreserved <br />