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© D SERVICES INCORPORATED <br /> 2x01 Stanwell Drive,Suite 4W CHAIN OF CUSTODY <br /> Concord,California 94520 9605175 <br /> Tel (510)602-5100, Fax.(510)689-1918 <br /> SAMPLER UNOCAL // ANALYSES REQUESTED <br /> VARTKES TASHDJIAN S/S # CITY S f? to TURN AROUND TIME <br /> 49 A <br /> WITNESSING AGENCY ADDRESS <br /> SAMPLING ;W H a r�.l 0 o REMARKS <br /> SAMPLE ID NO DATE TIME WATER GRAB COMP NO OF CONT LOCATION [1 Q H Q E-4 OQ <br /> X z � �, X so5oeii <br /> 10501 A2,,j- B <br /> 6050 13 <br /> X <br /> 6050814 <br /> s )SOS i5 <br /> 6 4 X X G X X s 508 6 <br /> c J y X 'y x x 6 50 <br /> ly c,l 4 X X 4 X X 50 18 <br /> ti lj X X L X X 6 050, <br /> 19 <br /> RELINQUISHED BY DATEMME RECEIVED BY DATEITIME THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> i HAVE ALL SAMPLES RECEIVED FOR ANALYSIS BEEN STORED ON ICE? <br /> (SIGNATURE) �Q {SIG ATUR 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> ' ��� <br /> {SIGNATOR {SIG T REI S �� 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? O <br /> t�� S <br /> {SIGNATURE) {$ NATURf:) 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> (SIGNATURE) ISIGNATUREI SIGNATURE TITLEQ� DATE.��� <br /> o e 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 otter containers are <br /> unpreserved <br />