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n' �/ SERVICES ITI(,pRPORATED CHAIN OF CUSTODY <br /> ^�I4 Jr 2401 Stanwell Drive,Suite 400 <br /> Concord.CaIIIDmia 94520 <br /> Tog 1510)602-5100, Fax (510)689-1818 <br /> SAMPLERUNOCAL ANALYSES REQUESTED <br /> SIS 0 I CITY S ' r t TURNAROUND TIME: <br /> VARTKSS TASHDJIAN t2 k <br /> wrTNEtlbwO AGENCY <br /> A D 0 R E S S 1r�C Je2 cc_�' pE I <br /> C7 0 <br /> SAMPLING a H a c MARKS <br /> O <br /> SAMPLE 16 NO DATE TIME ATR RA GOMP NO OF CONT LOCATION E-t �Q H A H oD <br /> n,11 43 <br /> l`1CL,' � �- `� � n� X09 ✓ <br /> r � <br /> 3) <br /> L1NaUlSFtED BY DATEITIME RECEIVED BY DATE/TIME THE FOLLOWING M STB COMPUTED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> RE .r a <br /> 1 HAVE ALLSAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> IS NATURE! �� I Z 13 ; WILL SAMPLES RNI REFRIGERATED LIHTIL ANALYZED? <br /> ISIGNATUREl ��yl q-5 <br /> Nu <br /> � <br /> (SIGNATURE — I D40 ANY SSAMPLESRECEIVED FOP ANALYSIS HAVE HEAD SPACE? <br /> (SIGNATURE} <br /> ibou <br /> {SIGNATURE? 4 WERE SlIMPLE6 W APPItOPRtATE CONTAINERS AND PROPERLY PACKAGED? � <br /> i <br /> (SIGNATURE) '�' <br /> ?SIGNATURE? ISIGNATURE) SIGNATURE TITLE 1 DATE. <br /> Ef I <br /> All water containers 10 be sampled for TPHGIBTEX, 8010& 8240 are preserved with HCL All water eonlalrters to be sampled for Lead or Letals are preserved with HNO3 All other containers ars <br /> unpr a served <br />