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0 <br /> �)' b0 0 <br /> *SERVICES INCOAPOAATED <br /> 2401 Stanwell Drive,Suite 4W CHAIN OF CUSTODY <br /> Concord,California 94520 '�1� t <br /> Tel (510)602-5100. Fax.(510)689-1918 <br /> SAMPLER UNOCAL ANALYSES REQUESTED <br /> VARTKES TASADJTAN SIS # 69�'! CITY 57�� n TURN AROUND TIME. <br /> WITNESSING AGENCY ADDRESS `{- / �►_ � 0 <br /> W C� c m O <br /> SAMPLING PA E4 9k wo O a >r- Ora REMARKS <br /> SAMPLE ID NO DATE TIME. WATER GRAB I COMA NO OF CONT LOCATION E4 GQ E4 A H oo �U <br /> Prue �! L Uv ,4t X <br /> /` <br /> V IV Z G 07 18" 4 <br /> l� A1,0csf <br /> 1 3 �` �u X X `� x n"7 RTS <br /> I.LRn r <br /> 8Z6 � <br /> /l To c <br /> RELINQUISHED BY DATE/TIME RECEIVED BY DATElTIME THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> -7h Igo -TW <br /> I HAVE ALL SAMPLES RECEIVED FOR ANALYSIS SEEN STORED ON ICE? <br /> [SIGf AT �) r1c ('0 {SI AT E} — r�7 Z WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> LA <br /> (SIGNA7 RE) / {SIGNATURE) 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> Z� <br /> [SI(,NATURE) (SIGNATURE) 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> 1SII,NATURE) (SI R SIGNATURE TITLE ' DATE,lz�' 1 4*-*-9t <br /> r/h.0 <br /> Note Alt 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 containers are <br /> unpreserved. <br />