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7 _ <br /> ` Sample Identification jField Chain al Gusto RecordDELtA <br /> r <br /> ENVIRONMENTAL CONSULTANTS, INC. <br /> PrasCL t; li7,r <br /> l W.O. # <br /> Shipped by: <br /> Shipped to: Attention of. <br /> Comments: __^ Hazardous materals suspected)(yeslno) <br /> Sampling - <br /> 7 Point Laeatien Sample T[o.of meutysis <br /> r� r Field IC# A7te Typo Containen Re1quhed <br /> .f,Ir 1.�t i ��F •� i _ l <br /> VT <br /> 3 I _ <br /> y.,.� Samplers}(signature) <br /> Field 17 Rellnqulshad by:(signature) Received by:(signature) Cataffine Comments <br /> i <br /> Sealed for shipment by:(signature) "!� �� Date/Time Shipment method: <br /> Received for Lab ( <br /> by: s's nature :-'l i /r/> Lc/'y j 117;;% <br /> 9 ? Date/Time- Comments <br /> / ReCpiving Laboratory:Please return originat f(, after signing for receipt of samples. y <br /> j <br /> i <br />