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M P D lb Services, Inc. _- CHAIN OF OS' TODY <br /> 2x101 Stanwell Drly ulte 400, Concord, CA 94520 f rvJe-C- <br /> Tel 15101 602 5120 Fax (510) 689 1918 <br /> SAMPLER C[7 ANALYSES REQUESTED <br /> tIA-e TX 6'-C SIS # S_ CITY -S 74-1c zlTURN AROUND TIME <br /> eN <br /> WITNESSING AGENCY ADDRESS 61 iiV 4g ! -� V <br /> � <br /> � ku \0� y,, \b a <br /> SAMPLING Q.fj +` W --, too <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION X`J REMARKS <br /> -2��1�} �' � X X / A��r6 46 � lJ X X X 7 4-10 1 :3 � J <br /> 7 ')- <br /> i RYA �P� X x X 7#01C4 <br /> 4 <br /> 3 3 •S-q Gro <br /> M 4l 0 4 , r X X �rC `� X X X X 3Ilb <br /> MWf q S r R`M z X X lr X X X 711-0167 <br /> mw rD t R f�� X X X x 714-0168 <br /> Li -Cs Y PA, X X ., ti X X X '71 019 <br /> mw s Py ' x x 6 ��; t x X X x 711-0:11;0v <br /> �w s <br /> )< X 71 0ri 3 IJ (r <br /> 71-01-A1 n �: <br /> ti W <br /> owl III —E=11IIIIIIIIIIIIIIIIII I I I I <br /> THE FOLLOWING MUST BE.COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> RELINQUISHED BY DATE/TIME REC IVED BY 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE) <br /> ISIGNATUREI !7 l I [SIGNATU 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED <br /> ISEGNATURE) [7U ISEGNATURI: 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> (SIGNATURE) ZATURE) <br /> TURE1 Q y A WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> ISIGNATUREI SiGNATUR I Od TITLE DATE <br /> � v � <br />