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E) <br /> n 0 9608180 <br /> u <br /> I r SERVICES 4 INCORPORATED CHAIN O F CUSTODY <br /> 2401 5tar�well Drive Suite <br /> te 400 <br /> Concord,Calllorrna 94520 <br /> Tel (510)602-5100, Fax (510)689-1918 <br /> SAMPLER UNOCAL ANALYSES REQUESTED <br /> S/5 � D l GN �' ��n TURN AROUND TIME: <br /> VARTKES TASHDJIAN �} y <br /> WITNESSING AGENCY ADDRESS <br /> em CD <br /> SAMPLING a H a O o REMARKS <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION E-L C4 A H ao <br /> E v =6113 ,�� L ✓� S w X g ►Noy; o -Is <br /> x <br /> ' u 3 PNS x x k 96801;42 <br /> k tr 3,io X X '� ti XGON0643 <br /> x u GOH06 44 <br /> r <br /> • <br /> to ' X X s X If )too 45 <br /> (A 4 P L X GO 4OF1416 <br /> U g jk X k 6 K I;( H0647 <br /> RELINQUISHED BY DATE/TIME RECEIVED BY DATEMME THE FOLLOWING MUST SE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> 8`/6/46 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? y ,,,, <br /> ISIGNATURE) (SIGNATURE) 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? _ <br /> ISIGNATURE) ISIGNATURE) 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> {SIGNATURE) ISIGNATURE) t WERE SAMPLES W APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> ISIGNATURE) T f:g�u ��c�j0 SIGNATURE. � TITLE. DATE.5-6`r <br /> o s All water containers to be sampled for TPHG/BTEX, 8010& 8240 are preserved with HCL All water containers to be sampled for Lead or Metals are preserved with HNO3 All other containers are <br /> unpreserved <br />