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L c <br /> SERVICES INCORPORATED , i} <br /> ���JJJ 2401 Stanwell Drive,Serle 400 CHAIN OF CUSTODY J <br /> Concord,Callfomra 94520 4 <br /> Tel (510)602.5100. Fax.(510)688-1918 r <br /> SAMPLE$ UNOCAL <br /> ANALYSES REQUESTED <br /> VARTKES TASHDJ1AN SIS # - W, CITY cS .1 TURN AROUND TIME: <br /> WITNESSING AGENCY .14 <br /> —V-70-7�T 7 a � �� - 0 A <br /> SAMPLING 04I4 � G4 N 0 P to <br /> WATER GRAB COMP NO OF CONT LOCATION [+1 <br /> SAMPLE 10 NO DATE TIME M H ~ 00 C7 t" REMARKS <br /> ����lA H <br /> l �s X X rrv-9s <br /> �uJ X X <br /> Mid q ,� 1, 30 <br /> x <br /> 6101467 <br /> -7- 61014CN <br /> RELINQUISHED BY, DATE/TIME RECEIVED BY, DATE/TIME THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> x t HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> f -z <br /> ISIGNATURE) a (SIGNATURE) 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> (SIGNATURE) (SIGNATURE) J DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? / <br /> I5IGNATUREI NATURE} 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> 15IGNATURE) (SIGNATURE) SIGNATURE TITLE. DATE, <br /> its All water con Iners to be sampled for TPHGIBTEX, 8010 a 8240 are Preserved with HCL All water containers to be sampled for Lead or Metals are Pre <br /> unpreserved served with HNO3 All other containers are <br />