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i <br /> DELTA Sample Idw ficaWn/Fietd Chain of Custody Record <br /> j ENVIRONMENTAL CONSULTANTS, WC. m <br /> �i <br /> Pro}ec� I <br /> LP 0 "77Dn f`�ore�o. fl�i� � 6A w.o. �-g9 144 Gi <br /> SVWW. •�., _ G, <br /> Shipped to: E.�r �,. La 6,,c f-o r,e I Tl <br /> Comments: Attention of: 4� <br /> Hazardous materials suspected?(yes/no) 47 <br /> SOMPOV 7 <br /> Poirot Mo.of Analysis <br /> sample ocatkm Field ID# Date � A <br /> A l/`�1,� C C o�QL. �,,.` $ L^K�e,h J -(1� �7 �j ry QQ Required <br /> M <br /> S 1 — t ` C+IIQ r10 .tale �\ �IJL� y�_ ,4�C.6-U0 SO ( 1] <br /> C- P t CS-P-3 <br /> 3(� c Q a t.d- . ,�. s� <br /> 1 <br /> w co US: ` • <br /> ~ Tt g ����� 4 a hairwet/,3! <br /> 1 CIOS ,,� l <br /> as. -5 •: <br /> as 4 <br /> Sampier(s)(signature) <br /> Fisid IO Retinq�sstied ter ) Recelrod tip:(suet") <br /> V�se <br /> Z l f L cs P- 3 P-� <br /> es P C4-6 <br /> 4 <br /> Sealed for shOment by: (signature) Date ime a, <br /> � Shipment metfiod: <br /> Received for Lab by:(signature) Oate/Tirrie7 Comments <br /> F+ <br /> ece^ri^g story:Please return original ta•m after signing for receipt of aanFples. <br />