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Protect • amo Job Number�76g� 7�- Log Numb r <br /> _ • C Aremld 3�p� <br /> Project Manager I_nboratory a° p A t` b Time <br /> N Sc 1�a=yp i fh v Field Conditions <br /> Sampled By (Print Name) _ m <br /> m J <br /> N t — lt4bM 4c1r tc= C1 x r. 3 3 D�C'QGAST �o�` <br /> Site Location Q •t N v a <br /> Date Time Sample ID Typo NCoontal96"5 Notes/Fleld Sample <br /> I,�I- ype— Plus — — — — — — — — — — — — Readings Depth 0-- <br /> o 7.7 f <br /> AD <br /> (.StZ 13n-laf3� - 1 TS 3 as- -,.mss <br /> - - Ya - Y-Zt <br /> 1603 60-613-7 <br /> VO <br /> — - - - - - - - — �n.C, (a.z� <br /> 11IlnquJ lied By Date/Time Received By Special Instructions vdpwAt T F Preservatives (Pres) <br /> (1) = 1ICL (3) _ <br /> f (2) = IIN03 (4) <br /> Suspected Constituents Results TO: <br /> AMR...RlC/-NATN'. ANrA UAYh 6 <br /> Sample Retention Tlme <br /> GNVIRONMCNTAL MANAGG MENT 0019n. <br /> Mess\'nJlr Dace OOW,Ilmcho cardov.,C.Illqul•95o7o /lulal uea-eeee <br /> etle lfi, On vnl.0. 01, sl., Dal, 3....,n.nl o,C.. a.... /10Ia10a4-ea/3 <br /> 10480 Oaahn•n Wy,514u11on,Cblllo,nl. e0ea0 117141420-6310 <br />