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IQ1r SERVICES INCORPORATED C A ' N OF* U S T 0 DY 6 W a' 13 2 <br /> 2401 Stanwell Drive,Suite 400 G <br /> Concord,California 94520 <br /> Tel (510)602-5100. Fax (510)689-1918 <br /> SAMPLER UNOCAL ANALYSES REQUESTED <br /> VARTKES TASHDJIAN S/S # O/gam CITY S f 4c-,Pf317 TURN AROUND TIME <br /> wiTNESSM AGENCY ADDRESS 34 E HCS C j, <br /> SAMPLING a F a M�-i O O REMARKS <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION H M H Q H 00 <br /> 1a r s/�1�� �y ?� X z v -� w� x 6 50 <br /> c,l 2- p,y v X x x 6 506 8 <br /> C4 3 3,3- X X X G050649 <br /> c4 4 4 '1-/ 3 X X `` X 6 50 0 <br /> qs '44 XX X 65051 <br /> U io.M 9 X X 4 X G9506 2 <br /> 'x x 6 50 3 <br /> 1E X (T50 <br /> RELINQUISHED BY. DATEITTIME RECEIVED BY D(A�TEITIME THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES. <br /> `',b t HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> F 7 i 3 o aS n 14t <br /> ISIGNATUR 'i {SIGN TUBE} 117— 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> A� 3 <br /> S--?/ No <br /> (SIGNATU {$1�lAT I ���� 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> (SIGNATURE) (SIGNATURE) 4 WERE SAMTE <br /> TE CONTAINERS AND PROPERLY PACKAGED?i <br /> (SIGNATURE) (SIGNATURE) SIGNATURE � TITLE St` DATE.a/.7f1i <br /> o • All water containers to be sampled for TPHG/BTEX, 8010& 8240 are preserved with HCI. All water containers to be sampled for Lead or Metals are preserved with HNO3 All other containers are <br /> unpreserved <br />