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M P D Services, Inc. <br /> 2401 Stanwell Drive, Suite 400,Concord, CA 94620 ^ <br /> Tel: (610) 602-6120 Fax: (610) 689-1918 <br /> CHAIN OF CUSTODY <br /> SAMPLER UNOCAL��-�QpA ANALYSES REQUESTED <br /> NICHOLAS PERROW S/S # 0- <br /> TLA CITY: I f✓�C� TURN AROUND TIME: <br /> J <br /> w7n W <br /> "F( r lEWITNESSING AGENCY ADDRESS: 0XQ <br /> SAMPLING Q.XH a O0 0 REMARKS <br /> SAMPLE ID NO. DATE TIME WATER GRAB COMP NO.OF CONT. LOCATION h- In F- <br /> ,- log ✓ �°6�z \/J T-- 408056011-(" <br /> I� 3;5� 4080561 <br /> -3 �psS ✓ ✓ 4080562 <br /> L/ ✓ 408063 <br /> \.k _ 4080564 <br /> 11� aye ✓ 4080565 <br /> 4080566 <br /> �-k I ra, ✓ ;f v 408056' <br /> L h 4080568 <br /> 4080569 ,V <br /> THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES: <br /> 7 <br /> RELINQU ED BY: DTIM_E RECEIVED BY: /$/�y 1. HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> / ATE/s� < <br /> ISLGNATTTRE) IS NATURE, 2. WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> ISIGNATUREI .. (SIGNATURE) 3. DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> ii <br /> (SIGNATURE) (SIGNATURE) 4. WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> e. <br /> )SIGNATURE) (SIGNATURE) SIGNATURE: TITLE: DATE: <br /> v <br />