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96092u1L i <br /> © SERVICES INCORPORATED <br /> 2401 Stanwell Drive,Suite Ona CHAIN O F CUSTODY <br /> Concord,California 84520 <br /> Tel (510)602-5 100. Fax.(510)689-1918 <br /> SAMPLER UNOCAL. _ ANALYSES REQUESTED <br /> / <br /> VARTKES TASHDJTAN S/S # 412-3 CITY. r ct TURN AROUND TIME: <br /> " N ` <br /> WITNESSING AGENCY ADDRESS: l 037 �►-+7�� �� C.7 a �� /ar <br /> Ri <br /> rn <br /> SAMPLING pA4 H a p.4 O o REMARKS <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION [I [+1 A H pp <br /> 7 77 x 6090171:2 <br /> c-s Z Y X �*09V�1 <br /> z <br /> Prli. <br /> 6090774 <br /> i <br /> RELINQUISHED BY DATEITIME RECEIVED BY. DATEITIME THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> /p z G/t r-/46 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> ` <br /> (SIGNATURE) hs h/ (SIGNATURE) `.Yea Z WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> (SIGNATUREI ISIGNAT r 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> (SIGNATURE) (SIGNATURE) 4 WERE SAMPLES W APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> (SIGNATURE} (SIGNATURE) SIGNATURE: TITLE. DATE. <br /> LT! 41011 <br /> e <br /> All water contarners to be sampled for TPHGIBTEX, 8010& 8240 are preserved with HCL Ail water containers to be sampled for Lead or Metals are preserved with HNO3 All other containers are <br /> unpreserved <br />