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© SERVICES iNCORPONATED T w <br /> 2401 Stanwell Drive,Suite 400 CHAIN OF CUSTODY <br /> Concord,California 94520 Al <br /> Tel (510)602-5100, Fax (510)669 1918 <br /> ISAMPUR A �i'c ANALYSES REQUESTED <br /> VARTKES TASHD.YYAN 5 5 # 1 <br /> (� / CITY �'> TUj'iWAR0W4P T)Mf <br /> en <br /> WiTNESSIHO AGENCY ADDRESS <br /> Cz v <br /> SAMPLING a H a o ' <br /> SAMPLE to NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION E-r {� E-4 A E4 00 �c REMARKS <br /> HP �( X X Orel A6:C <br /> lya� �M X X Y x 9107 sw� , <br /> 1yL9 s Y 'wry �' 4 07 864 <br /> �GJ iz v i X x ti XR 0 71 A6� <br /> Mw P x Y x Gni HCG <br /> BIW 11 rs` 4 <br /> P� X [} A6' <br /> A <br /> IQ,'l�fc�9 X u s X 07J868 , <br /> ll.ly <br /> RELINQUISHED BY. DATE/TIME RECEIVED BY DATE/TIME THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> -/L J-/7 6 �1 fa/� 1 HAVE ALL SAMPLES MCOVED FOR ANALYSIS BEEN STORED ON ICE? <br /> (SIG T �} a� (Sl ATU ) 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> (SI TU E) / (SIGNATURE) 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> i-s" <br /> 7- 2,5 <br /> ISIGNATUREI (SIGNATURE) 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> 17 <br /> (SIGNATURE) (,Sl U f SIGNATURE TITLE, DATE � <br /> Noe All water containers to be sampled for TPHGIBTEX, 8010&8240 are preserved with HCL All water containers to be sampled for Lead or Metals are preserved with HNO3 All other containt t' aro <br /> unpreserved <br />