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FF-D <br /> 1 } SERVICES INCORPORATED 0 0 <br /> u 2x01 Stanwell Drove,Suite 400 CHAIN OF CUSTODY <br /> Concord,California 84520 <br /> Tel (510)602-5100, Fax (510)689-1918 <br /> SAMPLER UNOCAL 11 ANALYSES REQUESTED <br /> VARTK S TASHDJIAN SIS # `� CITY S /c,C TURN AROUND TIME- <br /> y <br /> WITNESSING AGENCY ADDRESS E L S~ i c e l/�✓ C {�'� 11 <br /> Rl <br /> W o <br /> SAMPLING a H a p o REMARKS <br /> SAMPLE ID NO DATE TIME ATHRA$ COMP NO OF CONT LOCATION [1 EI Q [I pp <br /> lJw <br /> la fr{ r 6 k x µ K US 374 � v <br /> e4 t'! k �;, x x Y Y 505 3'75 <br /> >�M 505 376 <br /> racy x 15050377' <br /> rte <br /> I;C x x Y X SUS 3'78 )�'��� <br /> Fi C j 'f�, Z X X 4 V <br /> W50379 <br /> x k 5059380 <br /> z, x X 4 X 505 381 <br /> 7 777 <br /> RELINQUISHED BY DATE/TIME RECEIVED BY DATE/TIME THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> ! r 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS KEN STORED ON ICE? <br /> ISIGNATUREI r /�ap fSIGNATURE) 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? LA <br /> (SIGNATURE) S (SI EI 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? I�O <br /> (SIGNATURE) (SIGNATURE) 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> —7(SIGNATURE) (SIGNATURE( SIGNATURE L TITLF�Zi(Zq �Lct DATE <br /> I I F <br /> Nota 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 /> unpresarved <br />