Laserfiche WebLink
M P D ( Services, Inc. <br /> r. <br /> 2401 Stanwell Drive, Suite 400, Concord, CA 94620 <br /> Tel: (610) 602-6120 Fax: (610) 689-1918 s <br /> CHAIN OF CUSTODY <br /> SAMPLER UNOCAL ANALYSES REQUESTED <br /> VARTKES TASHDJIAN S/S # _v lg'8 CITY: 7-1-,aC TURN AROUND TIME: <br /> / 1 W t' <br /> WITNESSING AGENCY ADDRESS: 82-0 - 7ax1 %�-' cS1r. Q W IC t- Q�._ <br /> x o <br /> SAMPLING W <br /> 0. F- CL 00 REMARKS <br /> SAMPLE ID NO. DATE TIME AT6 COMP NO OF CONT. LOCATION H m F- <br /> 4./4, X 'y / .4 m Z r MW k <br /> U 3 z g,u k k I <br /> I <br /> l <br /> S-" <br /> 4u, X �c r X X CSC' )2 f <br /> y Ix <br /> tib 7 :M x Ir K Y x, <br /> aq <br /> THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES: <br /> RELINQUISHED BY: DATE/TIME r� RECEIVED BY: 1. HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> k <br /> � q, IVNATURE) (SIGNATURE) 5(tz�4 2. ILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> -( ) - lq. <br /> ( IGNATURE) /y (SIGNATURE) 3. DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> ISIGNATURE) ISIGNATURE) 4. WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> ISIGNATURE) (SIGNATURE( SIGNATURE: TITLE: DATE: <br /> 'Z ( <br /> 4,,,, (,is i- <br /> 5�r2(Yy <br />