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. ..-.- w ' � _� . r M.-.ky,r 1►�.. 10/ «}�1,�.�1'Y1'. a\. � � ..r.a .. YC} � f ."^ � � <br /> Sample kiendflcation meld C of Custody Record <br /> IFY <br /> DELTA , <br /> 4r <br /> ENVIRONMENTAL CONSULTANTS, INC 1 ` <br /> Project 7GD n reLai A C,2ur � ����� ..,,. .,_,,.,.. _...._ WO # <br /> Shipped by ;T IA)e ,At- <br /> Stopped to r A - Attention of <br /> Comments Hazardous materials suspected?(yesA) <br /> � e <br /> Sampling <br /> e <br /> Point Location FWW ID i �' pah $ate Co�iw1in1irs R�� <br /> 1 Yype egiied <br /> /3 6041 otJ <br /> � ' <br /> 513- z6. <br /> a <br /> Sampler(s)(signature) tat <br /> Field ID R aiahed br. tun Received br. v Date rime Comments <br /> l I e c /F <br /> Sealed,for shipment by (signature) Date/Time 2Z&n Shipment method <br /> T' - <br /> Received for Lab by (signature) Date/Time Comments <br /> r � <br /> ti x <br /> Receiving Laboratory-Please return original form after signhp for receipt of samples <br />