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#1 <br /> Q)IREDOSEFIVICES INcoRPORATED 9 090401 SwnwaA drive,Suite 400 CHAIN O F CUSTODY <br /> Corteard,California 94520 <br /> Tel.(510)602-5100, Fait.(510)689-1918 <br /> SAMIPM UNOCAL ANALYSES REQUESTED <br /> VARTKES TASRDJIAN SIS # O/Z 3 CITY 7—r a r TURN AROUND TIME: <br /> WITNESSINOAGENCY ADDRESS /Di� �►�/16�.( J�V� {� p� <br /> SAMPLING a H 04 "4 0 CD <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION E� ;Q [I A H 00 REMARKS <br /> ca a�rl r f'M y k X t�- �� X X 5090Z07 ,4d-0 <br /> U Y x 5090208 <br /> 7 10114 X ILT f(' x 5090209 <br /> J� <br /> "IIIIIIIIIIIIIIIII <br /> I <br /> I <br /> t <br /> RELINQUISHED BY DATE/TIME RECEIVED BY DATEfTIME THE FOLIZWO117 MUST BE COMPUTED BY THE LABGRATORY ACCEPTING SAMPLES FOR ANALYSES. <br /> 915196 1 NAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? ' <br /> 3 s s,�E f-� 15 ss <br /> ISIGNAT AEI 2 WILL SAMPLES AEIbAIN REFAIGEHItTlED UNTIL ANALYZED? <br /> rTUREJ <br /> NATUR f}/� /J� 3 DID ANY SAMPLES RECEIVED FOA ANALYSIS HAVE HEAD SPACE? .�A <br /> ?SIGNATURE ( IGNATURE) 4 WERE UMPLES W APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> (SIGNATURE) ISIGNATURE) SIGI�IATURE f TITLE 9 DATE, <br /> 1 T7� <br /> Note All water containers to be sampled for TPHGIBTEX, 8010&8240 are preserved with HCL All water containers to haAampled for Lead or Metals are preserved with HNO3, All other containers are <br />