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CHAIN OF CUSTODY Page ___L of _ <br /> Delta Environmental <br /> Delta Consultants,Inc LABORATORY SAMPLESSENTTO <br /> ��. Environmental 3330 Data Drive Suite 100 2 p,! w <br /> Consultants,Inc Rancho Cordova,CA 95670 <br /> 9161638-2085 FAX 916/638 8385 <br /> PROJJ NO PROJECT NAME ( ( ( � Analysis Requested 8 ADDRESS t.l t flar S L <br /> 4C>'91712,PROJECT LOCATION w Container Description <br /> PROJECT MANAGER Z <br /> SAMPLERS(Signature) � <br /> O <br /> U <br /> LL <br /> Q <br /> LABORA. w <br /> m REMARKS <br /> t <br /> TORY SAMPLE ID DATE TIME SA6tPLESAMPLE LOCATION 3 <br /> SAMPLE ID TYPE i <br /> DVJ. x'93 Edi W Don tc fic, Well. 3 XS 3j/0/0 <br /> I L <br /> Relinquished by (Signature) ' Date Time Received by (Signature) Relinquished by (Signature) Date Time Aeceiv`by (Signature) <br /> Rellnqul ed by (Signature) Date Time ace <br /> c. r y. gnature Dat Tlme Tumaraurtd Time <br /> ,.,L/ �'' say. -.�.._-��,.�,, �•�-9� 2 3� �7�a�i,A�-aL <br /> 4 Sealed for shipment by (signature) DaWTlme <br /> Shipment method ' <br /> Sampler Comments Laboratory Commento. <br /> Condition of Samples, <br /> White Return with analytical results to Delta Yellow Laboratory Copy Pink Delta's Copy <br />