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[ED 1 / Iw rr <br /> D SERVICES INCORPORATED 9 V 1 0 V 1 0 <br /> 2401 Stanwell Drive.Suite 400 CHAIN OF CUSTODY <br /> Concord,California 94520 <br /> Tel (510)602-5100, Fax(510)689-1918 <br /> SAMPLER UNOCAL ff ANALYSES REQUESTED <br /> VARTKES TASHDJIAN SIS CIN �o� a! TURN AROUND TIME: <br /> WITNESSING AGENCY AGENCY ADDRESS <br /> n o <br /> SAMPLING W H a P O a REMARKS <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION E•1 E-4 Q Ei Go <br /> 1012 r)?S- 6 t X x 2 ✓v 4 , t✓c� 10J4(;6 jNb <br /> M W i z ��Jz r�F,r P r X x X 104467 6 <br /> L; L X 10 4668 <br /> RELINQUISHED BY. DATE/TIME RECEIVED BY, DATE/TIME THE FOLLOWING MVST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> td�26 <br /> 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? V <br /> 1 'cam pc� <br /> (SIGNATURE) I5 TRE} Z WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> �_ 1.50-6 <br /> (SIGNATURE) {SIGNAT EI �D 3 OLD ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> b " )-*;Io <br /> (SIGNATURE) ISIGNATURE} 4 WERE SAMPLES W APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> {SIGNATURE} ISIGNATURE) SIGNATURE TITLE DATE* <br /> r lag y <br /> at• Ad water Co rs to t>e sampled for TPHG/BTEX, 8010&8240 are preserved with HCL Aeer containers to �spled for Lead or Metals are pre erved with HNO3 r containers are <br />