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MPDS <br /> Services, Inc.. <br /> CHAIN OF CUSTODY <br /> SAMPLER �F SITE NAME b ADDRESS ANALYSES REQUESTED TURN AROUND IIME: <br /> S <br /> (J'"0 . # 0 -7 X TR N c y R �G-uc.9R <br /> WITNESSING AGENCY EAST // - LA cl q <br /> �a o 3 <br /> SAMPLE OF SAMPLIITG Qt L R E M A R K S <br /> ID NO. DATE TIME SOIL WATER GRAB COMP CONT. LOCAIION <br /> U 10 <br /> Relinquished by: (Signature) . ate/lime Received b (Si�11reIThe following MUST BE completed by the Inboratory accepting snnples <br /> . analysis: <br /> 1 <br /> 6 1. have all snnples received for analysis been stored In ice? <br /> ReliryTuished by: (Signature) Date/Time Received by: (Signature) <br /> 2. Will snnples remain refrigerated until analyzed? <br /> Relinquished by: (Signature) Date/lime Received by: (Signature) 1. Did ony sanples received for analysis have [tend space? <br /> 4. Were snnples in appropriate containers and properly packaged? / <br /> Relinquished by: (Signature) Date/Time Received by: (Signature) <br /> Signature Title Dafe <br /> 2.1111 Snnwdl U(irc.Suite•I(MI <br /> f)ntunl,Califfrrnia 915211 <br /> Tri:511)(A)2 51(N) I.ia,511101700)2 <br />