Laserfiche WebLink
Elt© SERVICES INCORPORATED i 0 <br /> 2401 Stanwell Drive,Suite 400 CHAIN OF CUSTODY <br /> Concord,California 04520 <br /> Tel (510)602-6100, Fax.(510)689-1919 At r <br /> SAMPLr:R UNOCAL ANALYSES REQUESTED <br /> VARTKBS TASHDJIAN SIS # CITY TV['�c �U 0 TURN AROUND TIME' <br /> y <br /> wITNESSMq AGENCY D D R E S S z G! - � I <br /> rA <br /> SAMPUNG 41 H ISI 0 CD <br /> SAMPLE IQ NO DATE TIME (I to 6e COMP NO OF CONT LOCATION [� pq [1 A Ef OD REMARKS <br /> M <br /> M W /o X <br /> Ml t� `J t,)/2n, y A i a x `t JL0i1 R,-17 <br /> N GJ �0/z 051 �� 4101 R,18 <br /> ' <br /> 41011R40 <br /> .19-M 1011941 <br /> �T �C 1011$442 <br /> RELINQUISHED BY. DATEITIME RECEIVED BY DATE/TIME THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> ii `r1 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> 11-0 , <br /> (SIG TU E (A IG URE 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? m <br /> { G y <br /> (SIG U )TISIGNATURE) 'rl +r i �j 3 0411 ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> f LIS,(k�j i Is i U <br /> ISIGNAT E) (SIGNATURE) 4 WERE SAMPI BE MI APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> I <br /> (SIGNATURE) ISIGNATUREI SIGNATU �( / TITLE DAT <br /> fL3 <br /> #41L All water containers to be sampled for TPHG/BTEX, 8010&8240 are preserved with HCL All water containers to campled for Lead or Metals are preserved with HNO3 All other containers are <br /> wV eserved <br />