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nER3SERVICES INCORPORATED r <br /> ^�u 2401 Stanwell Drive,Suite 4W CHAIN OF CUSTODY <br /> Concord,California 94520 <br /> Tel (510)602-5100, Fax (5 10)689-1918 Y <br /> ANALYSES REQUESTED <br /> [SAMPLER SNS�A�I�� CITY BURN AROUND TIME: <br /> VARTHES TASHDJIAN <br /> YATNESSINGAGENCY ADDRESS C' All d18f' M <br /> SAMPLING a H aPq <br /> O p REMARKS <br /> SAMPLE ID NO DATE TIME A &A613 COMP NO OF CONT LOCATION H 00 <br /> u Z �o '? x x 4 Y n? 745 <br /> U <br /> RELINQUISHED BY DATEITIME RECEIVED BY DATEITIME THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMP <br /> ILES FOR ANALYSES <br /> 4, HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? YE C <br /> f SIG U ? SI NAT EI �R Sz 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? �t✓a <br /> ISIG TURE) , (SIGNATURE) AI { 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> 'SIGNATURE) <br /> ISIGNATUREI 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> SIGNATURE) (SIGNATURE) SIGNATURE I TITLE DATE <br /> All water containers to be sampled for TPHGIBTEX, 8010& 8240 are preserved with HCL All water containers to be sampled for Lead or Metals are preserved with HNO3 All other containers ere <br /> unpreserved <br />