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itINO,11,11:11111i 111 <br /> *//// Deltla <br /> En <br /> AL consunmentai Sample Identification/Field Chaise of Custody Record <br /> Cunaullanis,inc. � , <br /> P e 2 of <br /> Project: J.C3a ' vu'JneILir[iC�, y <br /> Shipped by: —�15 W.O <br /> Shipped to: �� �� e. <br /> Results to the altontiot3 01: e <br /> Sampling <br /> Point Location Sample No.ol <br /> Fleldff)# paleAnalyele <br /> Type Containers Required <br /> sem' TCh Ffii-G y <br /> su� �� yIC§Q .54� 1 - S_ -qd s,/o�r fay if� 3 � a n <br /> ' 1u� l wit,wasf ,k T 7- <br /> _ ��,� <br /> T'-- <br /> r"Jae, Z ,_ <br /> I � <br /> Samplers)(signature) <br /> Fleld 1p Fidllnquished by:(alonature) Racalwad b s <br /> y;{slpnature) Dato/Tlma Cnmmonts <br /> Sealed for shipment by (signaiure) Date/Time <br /> Shipment method: <br /> Comments: <br /> 1 <br /> Receiving Laboratory;Please return arigiral farm after signing for receipt of samples. <br /> it 'g <br /> 112 ill!;i Z111 SIEMENS, <br /> y , <br />