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USERVICES INCORPORATED <br /> P24 <br /> 01 Stanwell Drive,suite 4W CHAIN O F UST 0 D Y 6 0 4 _ <br /> Concord,California 94520 i <br /> Tel (510)602-5100, Fax (510)689-1918 <br /> SAMPLER UNOCAL. ANALYSES REQUESTED <br /> VARTKES TASHDJIAN s/s # 6YI1 GIN TURN AROUND TIME <br /> c �R CD4 I a ee—' xv Ir <br /> WITNESSING AGENCY ADDRESS S�c� �Li p9 <br /> rA O <br /> SAMPLING AW F a 04 O o REMARKS <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION H A H A H 00 <br /> s / '//z Ou / a0 X 604981 <br /> gs 2- 604 1982 <br /> Cs 3 �, 04 983 <br /> RELINQUISHED BY DATEITIME RECEIVED BY. DATE/TIME THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> WZ -/g 4 f} T�-q{, 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> ISIGNAT R L ft 9fv (SIGNATURE) 3QZ) 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> ISiG ATUR ) (SIG E) 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> (SIGNATURE) / (SIGNATURE) 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> (SIGNATURE) (SIGNATURE) SIGNATURE ^'ter TITLE DATE. <br /> Nota All water containers to be sampled for TPHG/BTEX, 8010&8240 are preserved with HCL All water containers to be sampled for Lead or Metals are preserved with HNO3 All other containers sra <br /> unpreserved <br />