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M P D * Services, Inc. CHAIN OF JOsT ® DY <br /> 2401 Stanwell Drive, Suite 400 Concord, CA 94520 <br /> Tel (510) 602-5120 Fax (510) 689 19183 <br /> SAMPLER UNOCAL �[ ANALYSES REQUESTED <br /> SIS # 5$36 CITY Skch "//�n TURN AROUND TIME <br /> �,¢�PTK�S TasNJr,4�✓ ,o <br /> WITNESSING AGENCY ADDRESS 2?0/ /y r I <br /> �I <br /> SAMPLING <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION REMARKS <br /> r,J 1 3 1� �l. / x �( 6ar f✓r'`� X 01 718 A- <br /> 7029719 X X r <br /> 3 � X X ` � <br /> MW <br /> f�'1"I `K X X X 703 rizo * <br /> { <br /> ku <br /> 4_ <br /> O � <br /> �o <br /> J <br /> K <br /> THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> RELINQUISHED BY DATEITIME RECEIVED BY 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> ISIGNATUREI 3 } {SI EI 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> avm- J q,� '; <br /> fSIGNATUREI -311 <br /> D (SIG ATURE) 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> { IIG AAT E) 5,0 T++ 4 WERE SAMP IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> J] <br /> {SIGNATURE} { GNA R 51GNATUR TITLE DATE <br />