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M P D & Services, Inc. • � s CHAIN OF INSTODY <br /> 2401 Stanwell D► uite 400, Concord CA 94520 • ` v <br /> Tel (510) 602 5120 Fax 1510) 689 1918 <br /> SAMPLER UNOCAL ANALYSES REQUESTED <br /> V4�eT�e,S /�SJf7l,4�I <br /> SIS # 0/, CITY G�7�n TURN AROUND TIME <br /> WITNESSING AGENCY ADDRESS - Ce-,3?- 'F r_ ko k 11 � <br /> 0z <br /> SAMPLING +� <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION h -L REMARKS <br /> 2� -� IPHs x X 7080154 <br /> 3 y ,�' X )C X )C '708 15, <br /> `� PMS X X z SC <br /> 7084 iS <br /> U <br /> It ,qN 3 X7080115 <br /> `708 iS <br /> X X <br /> to <br /> Y PM X X K T X X 70 Ox15, <br /> 701 Oil <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 /> V <br /> {SIGNATURE) FIS (SIGNATURE) 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? V <br /> (SIGNATUREI (SIGNATURE) 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> fi <br /> ISIGNATURE) (SZGNWtURE1 <br /> 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> ISIGNATI�REl SIGNATURE TITLE DATE <br /> �^- 1/�- N-s q J I <br /> r <br />