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11bED SERvICES INCORPORATED 'q <br /> 2401 Stanwell Drive,Suite 400 CHAIN OF CUSTODY <br /> Concord,California 94520 <br /> Tel (510)602-5100, Fax.(510)689-1918 <br /> SAMPLER IUNOCAL ANALYSES REQUESTED <br /> VARTKES TASHDJIAN SIS # 6 9 CITY ->Ijn�tAa 'i TURN AROUND TIME: <br /> rZI <br /> W17NESSINaAGENCY ADDRESS pq <br /> l W 93 0 o <br /> SAMPLING a H a � O o REMARKS <br /> SAMPLE Ip NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION C-4 PQ E-4 A (moi qq <br /> �,� ' 07 006 ' <br /> o.P'r <br /> " �� ti0 <br /> / /fc <br /> 14 iq <br /> �t til 3 072007 <br /> �-D X X 1-TK 07 008 <br /> 9 hG X X k t x 07#009 <br /> ,� (ifs ��,�� x X L X 0 010 <br /> N(J /x�� , 4, M? X X K 7 011 <br /> X 012 <br /> � � ` x X t x 013 <br /> '�;Lf x X r X 0�►,� 14 <br /> ,Z,,Q <br /> MOO ;/ X X I X 07 01s <br /> RELINQUISHED BY DATE/TIME RECEIVED BY D1ATE/TIME THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> 71Z 71�f � �f Z�� 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? tdQ <br /> IGNAT E) 7-"IF-9S GNATU r 2 WILL SAMPLES REJrWN REFRICERATEO UNTIL ANALYZED? <br /> �ooS `2 <br /> iSl TU d 17;,S' (SIG E) fr 3 Dip ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? /vlC7 <br /> txr <br /> TSIGNATURE) (SIGNATURE) 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> (SIGNATURE) (SIGNATURE) 51GNATURE TLE DATE <br /> f.--. 7 z7 <br /> Mae— All water containers to be sampled for TPHGlBTEX, 8010& 8240 are preserved with HCL All water containers to Otaimpled for Lead or Metals are preserved with HNO3 All other containers are <br /> unpreserved <br />