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MKINWCUTTOD'Y � P age <br /> >� <br /> Delta Environmental LABORATORY SAMPLES SENTTO <br /> 3330 D <br /> Delta <br /> Inc — _Environmental 3330 Dattao D LA <br /> nve,Sutle 100 <br /> Rancho Cordova CA 95670 6`Y <br /> Consultants,Inc 916/638-2085 • FAX 9161638 8385 <br /> PROJ NO JPROJECT NAM✓= ADDRESS <br /> Y p� N Analysis Requested& <br /> PROJECTLOCATIONcc Container Description <br /> 73,7 OL 1PROJECT MANAGER <br /> SAMPLERS(Signature) O <br /> U y) <br /> 1 c �� -- a <br /> LABORA- m REMARKS <br /> TORY SAMPLE ID DATE TIME SAMPLE SAMPLE LOCATION j <br /> SAMPLE ID TYPE z <br /> MA -1 `1-/0 r nY `� f 1 � �, Jo-M,06 <br /> l✓-Z >fQ L) <br /> Relinquished by (Signature) Date Time Received by (Signature) Relinquished by (Slgnalure Data Time RKal d by (Signature) <br /> �z._.e.r-- ��/ �r�f� 't s <br /> Relinquished by (Signature) Dale Tlme Received for Laboratory by gnatural Date Time Tumaround Tim <br /> Seated for shipment by (slgnaturs) i DatalTlme 7ShI ,,MTmethod <br /> Sampler Comments Laboratory Comments <br /> F- <br /> Condition of Samples <br /> White Return with analytical results to Delta Yellow Laboratory Copy Pink Delta's Copy <br />