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DELTA Sample Identification/Fie&hain of Custody Record <br /> ENVIRONMENTAL CONSULTANTS, INC <br /> Project. 1► 1�It �• �h"�� �7 as pG +n f wo _# <br /> Stopped by <br /> Shopped to Attention of <br /> Comments / f r r` Hazardous materials suspected?(yesino) <br /> JJ <br /> Sampwv Sample No of Analyst& <br /> Point Location Field la a Date Type Containers RegWmd <br /> ha►- l40 iuh <br /> Ts- Z s a�tt west T5 <br /> S_ 3 s p T-3- <br /> no off- PCW06-. <br /> S . f �C� W s-s Z--2?19� 1 �rPN 7"Ek <br /> r� <br /> S - 6 Sa�T Poe c R 2 'z7-80 t r `j� <br /> f �4 or �� �3 1 P!tL- <br /> ! <br /> Sampler(s)(signature) <br /> Field ID Relinquished by 4signature) Received by f sl nature Delp,Time Conunents <br /> Seated for shipment by (signature) Datefrune Shipment method <br /> Received for Lab by (signature) Dalefrime Comments <br /> Receiving Laboratory Please return original fort after signing for receipt of samples <br />