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M O M M <br /> CHAIN OF CUSTODY Page <br /> Delta Environmental <br /> @�t1 Consultants,Inc LABORATORY SAMPLESSENTTO <br /> Environmental 3330 Data Suite 100 <br /> Consultants,Inc Rancho Cordova, <br /> ,CA 95670 <br /> 9161638-2085 FAX 8161638 8385 <br /> PROJ NO PROJECT NAME U� r rJL Analysis Requested& ADDRESS <br /> PROJEC7LOCATiON -I' �� Contalnerpeserlplion <br /> x p1 PROJECT MANAGER 2 a <br /> SAMPLERS(Signature) <br /> O <br /> w V,to REMARKS <br /> LABORA• <br /> TORY SAMPLE ID DATE TIME SAMPLE SAMPLE LOCATION Zp « J <br /> SAMPLE 1D TYPE <br /> 11,W- q-9 z. 1) V3 <br /> I <br /> M P�3 <br /> Relinquished by (Signature) Data TimThtalvad by (Signature) Relinquished by (Signature) Date Time Reeelved by (Signature) <br /> t- I/ J-e�l 14 Lo )�, P"Al,- P-/%//� I I <br /> Relinquished by {Slgnatura) Date Tkne frecalved for Labor ory by a re Date Time I Turnaround Time <br /> Sealed for shipment by (stgnature) DateMme ]Shipment method <br /> Sampler Comments Laboratory Comments <br /> Condition of Samples <br /> White Return with analytical results to Delta Yellow Laboratory Copy Pink Delta's Copy <br />