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CHAIN IOCUSTODY Page <br /> Delta Environmental <br /> Delta Cons ultents,Inc LABORATORY5AMPLESSENTTO <br /> 3330 Data Drive,Suite 100 <br /> Ina Environmental Rancho Cordova,CA 95670 ���C---- r <br /> Consultants,Inc 9161638-2085 • FAX 916/638-8385 <br /> PROJ NO PROJECT NAME p C, b Analysts Requested to ADDRESS <br /> .AD ' PROJECT LOCATION w Container Description <br /> �3C►•�� PROJECT MANAGER <br /> a � <br /> SAMPLERS(Signature) b Z'V{ <br /> O <br /> LAHORA• m REMARKS <br /> TORY SAMPLE ID DATE TIME SIMPLE SAMPLE LOCATION <br /> SAMPLE ID TYPE z <br /> Mw.l <br /> well <br /> I <br /> i <br /> i <br /> Relinquished by (Signature) Date Time Received ( t ) Rellnquls b gn to Dato <br /> Time Received by (Signature) <br /> Relinquished by (Signature) Date Time eu r ratory gna urs to Time Tumar u d Time <br /> I <br /> Sealed for shipment by (signature) Dato/Tlme <br /> Shipment method <br /> Sampler Comments Letwrory C4ltttn�r►ts: <br /> • Condition of Samples` <br /> White Return with analytical results to DeftON <br /> Yellow.Laboratory Copy Pink, Delta's Copy <br /> . „ <br />