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pillosERvicEs INcoRPoflATFDCHAIN OF CU5TODY <br /> 401 Stanwell Drive,Suite 400 y <br /> Concord,Caldomia 9.4520 <br /> Tel (510)602-5100. Fax(510)689-1918 <br /> 6AWL R UNOCAL ANALYSES REQUESTED <br /> SIS � ��� � �ITM• � �� ��fC:�� TURN AROUND TIME. <br /> r VARTKBS TASHDJIAN y <br /> WLTNESSM AGENCY ADDRESS <br /> y o <br /> SAMPUNO a F W O c REMARKS <br /> SAMPLE ID NO DATE TIME A E G A COMP NO Of CONT LOCATION [I Q E 1 Q F� 00 <br /> y, ac ,� x n117Ag <br /> tv <br /> 1{'�fir,' Z ~` � �►� X �` <br /> Lo 3 <br /> 141 w <br /> Mt,j z,lq,- r� s� x x x 011 g2 <br /> N�Gtr T I/-Z 6/q, 11:M <br /> f-- X X <br /> Lj <br /> RELINQUISHED BY, DATEITIME RECEIVED BY DATEITIME THE FOLLOWING MUS 5T Bt COMPLEIEO BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> r I dL ri S" 1 HAVE All SAIAPLES RECENW FOR ANALYSIS BEEN STORED ON ICE? <br /> r � I <br /> iSIGNATUREI „ {SIG TURES [ 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> i ` f Z <br /> v <br /> Lxu- <br /> ISIG TORE) (SIGNATUREI 13 -1 <br /> j 9 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> T6 r��LSJ 112-7/9 <br /> ISIGNATUREj (SIGNATURE) 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> {SIGNATURE] <br /> SIGNATURE) <br /> SIGNATURE_ TITLE DATE <br /> �121� All water containers to be sampled for TPHGIBTEX, 0010 Ilk 8240 are preserved with HCL All water containers to be sampled for Lead or Metals are preserved with HNO3 All odor Containers two <br /> wtpreserved <br />