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Sample ldentificationJField L. yin of Custody Rtacord <br /> DELTA <br /> ENVIRONMENTAL CONSULTANTS.INC. ' <br /> Project <br /> �r1tcL_ OlZ_ -- L20 �.,/. CW1grFFZ- Wy STUcV—FDA/, rte- W.O. rto <br /> ShiPpe d bY: ESC? N C')L" —!_1cLi 4- — x <br /> Shipped to: €til—e IeA Z,4 65 Attontion of; <br /> Comments: ONc kV Fk Ti;',C'A/A,eCtWO , L'Ct� C.LARkE 0tjZ&j ATE�T/q Hazardous materlafssuspected? <br /> Sampling Sample tta of Anatysls <br /> Point Location Field W C Data Type Containers Required <br /> ;)0/1- t30AYA147 /� <br /> 1 ��� rAA �r31-y Srsf -6 <br /> ti16y <br /> ,1)/j- ic`ig)e1A/6 .3 589.-.3 58.3 -$ <br /> ;`Yvt k`�'f��i�'C, � �� 5B y-y s.R y-s- `► �� I� I� t <br /> 1JL bw/VC7 s— NFig✓ Tl�IVk <br /> 7 . <br /> tk?IL <br /> w- SF3 7 - 3 <br /> 1/L l�l�PlAle- t%It r 'Tr°H? Td-r4 t_ <br /> Sampler(s)(signature) -- <br /> Field tp AaWigtdshed br.( tura) 1J RscaHed h .I. nature) hate/urns conunants <br /> Sealed for stupment by-(signature) laatefTime Shipment method: <br /> Received for Lab by:(signature) - DatafTlmo 10 $� �'35 Comments OVs 4 <br /> -1 <br /> Receiving Laboratory:Please return aft1nal form after signing for recelpt of umptea: > <br /> q�.Y <br /> y q <br />