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M P D P Services, Inc. <br /> 2401 Stanwell DFIYe, Sults 400, Concord, CA 94520 <br /> Tel 1510) 602 6120 Fax (510) 689 1918 <br /> CHAIN OF CUSTODY <br /> SAMPLER UNOCAL. 11 ANALYSES REQUESTED <br /> VARTKES TASHDJIAN S/S # S`f_ Z/ CITY J110C k'h __ TURN AROUND TIME <br /> -y �A1 � <br /> WITNESSING AGENCY ADDRESS 7303 �Q / t J� Q we �e /R <br /> � x o c <br /> SAMPLING a H 0w0 REMARKS <br /> SAMPLE ID NO DATE TIME <R> COMP NO OF CONT LOCATION F- m <br /> Vo 4.3rlc� 4060357 <br /> i4 P. x X 19iw b,, K )C X <br /> lj,`E" X rrd ga X 4 of� 3.58 <br /> MW , lilt <br /> w /z:;'Pm. X Y Y 4060359 <br /> JyltlS� <br /> /";,Z- y X `' X 4 0 G 0 sfi0 <br /> THE FOLLOWING MUST BE COMPLETED BY THE LABORATORY ACCEPTING SAMPLES FOR ANALYSES <br /> RELINQUISHED BY DATElTIME RECEIVED BY 1 HAVE ALL SAMPLES RECEIVED FO ANALYSIS BEEN STORED ON ICE? <br /> 1pe C7 <br /> ISIGNATUREI (SIGNATY7 2 WILL SAMPLES REMAIN REFRIGERATED UNTIL ANALYZED? <br /> 112:4•�•` y�l11 •� s <br /> {SIGN ISIGNATUREI 3 DID ANY SAMPLES RECEIVED FOR ANALYSIS HAVE HEAD SPACE? <br /> fS;G%ATUREI ISIGNATUREI 4 WERE SAMPLES IN APPROPRIATE CONTAINERS AND PROPERLY PACKAGED? <br /> [SIGNATURE] ISIGNATUREI SIGNAT TITLE DATE <br /> .�. �y <br />