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gAbSERVICES INCORPORATED 0 i <br /> 2401 Stanwell Drive,Suite 4O0 CHAIN OF CUSTODY <br /> C <br /> Concord.California 94520 <br /> Tel (610)602-6100, Fax:(610)689-19113 <br /> SAMPLER UNOCAL[ G ANALYSES REQUESTED <br /> VARTKBS TASHDJIAN SIS N � CITY C'.�C�U'7 TURN AROUND TIME: <br /> wITNEIitiYrO AGENCY ADDRESS: y7V I a C lam-^ C `7 0 IPq '`" <br /> SAMPLING � H a 0 o REMARKS <br /> SAMPLE ID NO DATE TIME 4(gtt60 COMP NO OF CONT LOCATION Er pq [i A H 00 <br /> Nos 101 443 jl// � <br /> 101 Ski <br /> RELINQUISHED BY DATE/TIME RECEIVED BY DATEITIME THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> "n 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON W <br /> !/ sd—�- v z4 n Nil `Iv1 <br /> ISIGNATUREI Qr ( G TfURE) , �p� qq x WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> ISLL <br /> (SIGNATURE) (SIGNATURE) 7 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> 'p^ <br /> /SIGNATURE) (SIGNATURE) 4 WERE SAMPLES W APPROPRIATE CONTAINERS AND PROPERLY PACKAGED/ � <br /> (SIGNATURE) {SIGNATURE) SIGNATURE <br /> (MY,rr1"`�VC TITLE DATE <br /> Vk11 -C. <br /> moi,, All water containers to be sampled for TPHGIBTEX, 8010& 8240 are preserved with HCL All water containers to be sampled for /sad or Metals are preserved with HNO3 All other containers are <br /> "@served. <br />