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M P D * Services, Inc. CHAIN OF ISISTODY <br /> 2401 Stanwell Drive, Suite 400, Concord, CA 94520 <br /> Tel (510) 602-5120 Fax 15101 689 1918 <br /> SAMPLER IUNOCAL. ANALYSES REQUESTED , <br /> d.9�rl`��S T.5iS1�j�,gev SIS # 2-9'--7CITY s�Gkfic n TURN AROUND TIME <br /> //�� �► ,e �� <br /> WITNESSING AGENCY ADDRESS /G S /"aG .lsz <br /> SAMPLING <br /> j SAMPLE 10 NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION z REMARKS <br /> M z� !q V- 9? 'z11 L6 X � z Jai �✓ x 05 Sao _A I <br /> Nj w2- y 1 X X <br /> X X 705581 <br /> /' /0 <br /> M G,? PM X 705582 <br /> l9M x x X X <br /> 705 583 <br /> MW 5 t gM X X k x x 7051584 <br /> ptw` fN <br /> X 4 �C k '705 585 <br /> 10 0 z <br /> �y X X X 1 705 586 <br /> Pig X X 4 X X 705, 587 <br /> M w 3,' - ?C ,� X X 705 588 <br /> THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> RELINQUISHED BY DATE/TIME RECEIVED BY 1 HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> {51GNATUREI "�, (SIGNATURE) �¢�� 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> {SIGNATURE) 1 q ISIGNATUREI 3 Dip ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> `l A/ <br /> (SIGNATURE) r C70 {SIGNATU 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> 1 <br /> fSIGNATURE) ISIG TURF) SIGNATURE TITL DATE <br /> f- ?—90 <br />