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'M P D S Services, Inc. <br /> 2401 StanwoU Drive,SLato 400,Concord, CA 94620 <br /> Td. (6101 602-6120 Frit 16101 689-1916 <br /> CHAIN OF CUSTODY <br /> SAMPLER UNOCAL. ANALYSES REQUESTED <br /> VARTKES TASHDJIAN SIS # 9_ CITY , Clffc)q TURN AROUND TIME <br /> J <br /> WITNESSING AGENCY ADDRESS q7O>t �2Gi + �' Q LU O <br /> C7 X p O <br /> SAMPLINGa IL Lu x O REMARKS <br /> SAMPLE ID NO DATE TIME COO C90COMP NO OF CONT LOCATION h co F— <br /> MtJ yly6�� lo. as Vv 15 ILl&j <br /> q6413�b AP, <br /> Md z �� P x n Y 1317 <br /> M�3 ' �r• X x YT x 137 <br /> L x f 3?4 <br /> pMIT x 13P <br /> MWS, ylarl9� 4;S-t) <br /> MW g1z6Cy 'A <br /> PN. X X x 3 �- <br /> Mw S yl&lp 3;„�, n n .� 13�3 <br /> Mw q ►q Mr x 13V 4 <br /> tzar X .� y x X385 <br /> Moro � p,>M , � 13 <br /> MGA{� i ►.03' -� 1 �� <br /> N III , x x' x <br /> THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> RELINQUISHED BY DATE(TIMEj LV RECEIVED BY 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> ISIG 0 (SIGNATURE) 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> M <br /> ISIG"TURE) (SIGNATURE} 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> y ' 116, 1� <br /> ISIGNAT(1 ISIGNAT RE) f 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> • (SIGNATURE) ISIGNATUREI <br /> SIGNATUR � h � TITLE DATE <br />