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M P D S Services, Inc. <br /> 2401 Stanwall Drive. Salta 400, Concord, CA 94620 <br /> Tal 16101 602-6120 Fax 46101 6891918 <br /> CHAIN OF CUSTODY <br /> SAMPLER UNOCAL ]] ANALYSES REQUESTED <br /> VARTKES TASHDJIAN SIS # CITY s7D uhf ah TURN AROUND TIME <br /> Lu 'e <br /> WITNESSING AGENCY ADDRESS. SFTU �4 c t Q w <br /> Z? p o <br /> SAMPLING 9L FW- a REMARKS <br /> SAMPLE ID NO DATE TIME A E COMP NO OF CONT LOCATION F- m <br /> NOW <br /> vzSl94 3;- X Z vv}1 �� 40'71480AB <br /> no'4 Vie-19 4 1rl0 y x d��7 4RI <br /> �` <br /> zr/1-# V, 0 y X x 4071 4R2 <br /> mW q t 411- X X r 40 11 DSAS <br /> IV 10 y �z A� x <br /> Mid <br /> It 1114 Kly "' T � dIn'71�3A'� <br /> mbf it, K X t �( df1'7� SSA$ <br /> HiJ 13 z : X X an'7194JR9 <br /> THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> RELINQUI HED BY. DATEMME RECEIVED BY I HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> Z Ir �— <br /> ISIGNATUREI 4SIGN TUR I 2 WILL SAMPLLS REMAIN REFRIGERATED UNTIL ANALYZED? <br /> (i T f` <br /> ISK,HATuRE (SIGNATURE) J DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> ySiGNATU?IEI } ISIGNATUREI 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> ISIGNATUREI [SIGNATURE) SIGNATURE` TITLE DATE <br /> Ask1� t rZ �l ti~-(fix L Cftj {4 <br />