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rNl p D S Services, Inc. <br /> 2401 StanWOU DFIYG, Suits 400,Coneofd, CA 94620 <br /> Tal, (6101 602-6120 Fax 1510) 689-1918 <br /> CHAIN OF CUSTODY <br /> SAMPLER UNOCAL ANALYSES REQUESTED <br /> VARTKES TASHDJIAN SIS +Et d�I � CITY SSI1 Q kfd'� TURN AROUND TIME <br /> Lu <br /> wITNE$SING AGENCY ADDRESS y +Q G►lf-� C _/Tv�. _._ Q <br /> 9 x © a <br /> SAMPLING auj a OD REMARKS <br /> SAMPLE ID NO DATE TIME -TE RA COMP NO OF CONT LOCATION F- LXl <br /> Ire ylZ2 MW x 40�# [M� A <br /> LA x I3�� <br /> mw <br /> q-ZU moi'` J THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> RELINQUISHED BY DATEMME RECEIVED BY I. HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> I T pEJ ISIGNATUREI 2 WILL SAM PI ES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> {S GGWATUREO) ISIGNATUREI 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> N <br /> ISIGkATUREI ISIGNATUREI 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGEOT <br /> ISIGNATUREI ISIGNATUREI SIGNATURE I TITLE DATE <br /> iw 1 I � <br /> P, & <br />