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© L S R C S INCORPORATED ! <br /> 2401 Stanwell Drive,Suite 400 — CHAIN OF CUSTODY <br /> Concord,California 94520 <br /> Tel (510)602-5100, Fax (510)689-1918 <br /> SAMPLER UNOCAL ANALYSES REQUESTED <br /> VARTKES TASHDJIAN S/S # y L Cin' S�r' A,n TURNAROUND TIME <br /> Q W <br /> WITNESSING AGENCY ADDRESS �666 r," ��� r'�� � 0 a <br /> PQ � Q <br /> rs <br /> SAMPLING W H a p o }- REMARKS <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION j� �I A [� pp <br /> �L>14 P X X �� �( X � 14 81�- <br /> 6 A4 I IC)Y <br /> 6061499 NT rTA <br /> i <br /> X X Y X x s 6i4 0 <br /> �W l r/ i17 X <br /> 6 614 2 <br /> u <br /> MW i s Y PM X k ?C X 6061403 <br /> l! `" rrm X T X s 614 4 <br /> 7 Y:;Y X X 4 K X (;,)CIL4 9 <br /> AM <br /> RELINQUISHED BY DATE/TIME RECEIVED BY� DATE/TIME THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> 61l g4ur U/Iq Ig G <br /> I HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON lCE? 107S <br /> 6A 114.�' ':�- M-P I-jV <br /> (SIGNATURE) 11 ISIG TORE) 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? Y <br /> (SIGNATURE) (SIG E 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? I`1L7 <br /> / (o` 2 G) _ U pSoU -(mss <br /> (SIGNATURE) (SI ATURE) 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> ISIGNATURE) (SIGNATURE) SIGNATURE TITLE YM DATE <br /> Note Ail 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 />