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/ <br /> vmi <br /> (fajlfUrr)ja��4ealth and are A n, <br /> PRIORITY HIM L No. <br /> k P-;-] 7 0 <br /> PART 1: FIELD SECTION <br /> Coliector- Date Sampled-Q <br /> � <br /> Activity: Super Other RCRA TP C.d.- MIT] i I <br /> Region: O SCERS�A ^� NCS-SAC [J NCS-FRESNO 3CL-LA NCCS-BEEK <br /> LOCATION OF SAMPLING: EPA ID NO. <br /> fJ <br /> Name -1-s <br /> Number Street City ZI; <br /> HML No. Collector's Type Of <br /> (Lab Only) Sample No. Sample* FIELD INFORMATION <br /> - --_--_--___---__ _ <br /> / <br /> 0 L3.0,3 L5i <br /> Analysis Requested: V C4— "s <br /> CD <br /> 0.1 <br /> Chain of 01 t dy <br /> id <br /> TIT <br /> VVriature Title Inclusive Dates <br /> ' <br /> 4 -- <br /> s*"atum n^lt Inclusive Dates <br /> u <br /> Signature Title` nyu mcl.uxwc*us <br /> Special Remarks <br /> (e.g.,duplicate sample given to company,etc.) <br /> p . <br /> | <br /> ` R---.'.. ~, <br /> Sample Allocation- � [] HML [] S[BL ^ [] 'LBL [] Other Date <br /> Analysis Req-.fired <br /> | <br /> / <br /> ' <br /> _ <br /> --'—' -sludge, ` — OriLab. Dup.-File Trip.-In%poctnr <br /> �� o-HS n000u/o»> ' <br />