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A <br /> 0 <br /> u G <br /> SERVICES INCORPORATED 1' 1; 1!) �� <br /> 2401 Stanwall Drive,seta 400 CHAIN OF CUSTODY ti <br /> Concord California 94520 <br /> Tei (510)602-5100, Feu.(510)689-1918 <br /> SAMPLER <br /> UNOCAL ANALYSES REQUESTED <br /> VARTKES TAS HDJ IAN SIS # 6 Y g'! CITY TURN AROUND TIME <br /> ,Q,� A/C /c/- <br /> } WITNESSING AGENCY ADDRESS. `{�U /Q 1 Gil" U' P O <br /> En <br /> 5AMPLINGPq <br /> a F N ,-4 Q ^^ <br /> 5AMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION E-1 M Ed 66A E-4 W REMARKS <br /> '11?6 4- 2 t1a > <br /> r c.l Z F ?,� X X <br /> At X <br /> RELINQUISHED BY DATEITIME RECEIVED BY DATE/TIME THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> -7-�z �"/3 <br /> 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> q s-0 °f 577 <br /> (SIGNATU(tE �� �(� (SIGN URE) ' y _ f L( -2 WILL SAMPLES RFMAIN REFRIGERATED UNTIL ANALYZED? <br /> (SIGNATUf E) (SIGNATURE) 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? _ l <br /> ---/ 2: 11/ <br /> (SIGNATURE) (SIGNATURE) 4 WERE SAMPLES W APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? �r <br /> ISIt,r�ATUR>) { � �, SIGNATURE TITLE DATE, r/ <br /> tL <br /> ote All water containers to be sampled for TPHG/BTEX, 8010& 8240 are preserved with NCL All water containers to be sampled for Lead or Metals are preserved with HNO3 All other containers are <br /> wmpresarved <br /> I <br />