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Q[PID193SERVICES INCORPORATED 9 `' 10 <br /> 401 Stanwell Drive,Sults 4W CHAIN O F CUSTODY <br /> Concord,CaldorNa 94520 <br /> Tel (510)602-5100, f=ax.(510)689-1918 <br /> SAMPLER UNOCAL ANALYSES REQUESTED <br /> VARTKES TASRDJTAN SIS # 696 CITY o�,�f�^ TURN AROUND TIME: <br /> y SGS.../Qr <br /> WITNESSING AGENCY ADDRESS loi?Q 5- "Q <br /> 0 <br /> SAMPLING phi H a O o REMARKS <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION �4 H Q EI cc <br /> 146J 1017yI9sr rZ;r3 x Y�'¢ lila '� 510 456 � L �. <br /> P� �51�b <br /> Mwl r�/z6/PS- <br /> X X `' X 510 457 �M� 1 — <br /> /qtvI 3 °,4 x X x 510 45 P � -�- <br /> 1W ►0/16/9; DHy x x X 5102459 <br /> MIJ S 9, X - x 510 46 <br /> P� k x z X 510 461 <br /> am <br /> go � ,'%/�," g` Y 510 462 <br /> NLJ r f L r/�,r 3P � X X -� X �10 463 <br /> HW R /o/z,r�g� ' ,� �C X 4 X 510 464 <br /> McJ Its rob r/9). Y"/o X x , x 5l0 465 <br /> RELINQUISHED 8'(.- DATE/TIME RECEIVED BY. DATEITIME THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> /c/i E/4,Y 1D]2� <br /> 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE7 <br /> !� ),c,--,-- L—", 13JD <br /> (SIGNATURE) 4 a (SIGN J„ r jyT 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALY7907 upi <br /> (SIGNATURE) <br /> I (SIG T El .1b 4A 2 )0/1-(c.�.f 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? -✓^� <br /> a-2 Scv <br /> (SIGNATURE} (SIGNATURE) 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> (SIGNATURE( <br /> (SIGNATURE) SIGNATURE TITLE DATE. <br /> 1 1a261c�e <br /> ose �A@ water Agri;to be sampled for TPHGIBTEX. 8010& 8240 are preserved with HCL A*er containers to ampled for Lead or Metals are preserved with HNO3 r containers are <br /> „nma Q AIV Aft <br />