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_ III <br /> Environmental Sample Identification/Field Chain of Custody Records <br /> � Conxullaels,inc. ii � e <br /> Project: =If�d, i � 7�s _ - <br /> 1�} if�iuc W.Q. i? <br /> Snippad by: —J:-ll�cl. ��^-. - <br /> Shipped to: <br /> Rosulls to the allontian of; <br /> Sampling Sample No.ol Analysis <br /> P oint Location FlaldtD# Date Type Containers Required <br /> WL-14s: c a <br /> - � 1 S4._ # �4..i; ta�,r.�lt-. �►`�e Sc,ti- E - $���--�Q s�a�i f4�3 1,.1�c{�i 2 "'f�� O��r`�.r i <br /> J h SPF - zn <br /> 'd _ <br /> 8T- Wit- 57-13a E-0 20 <br /> -T.�i^ <br /> Sampler{sj(signature) _ s <br /> Field ID FlOn ulahed6Y:(stgnsture) Received by:(signature) R� <br /> Dale-/!!me Comments <br /> 41 <br /> r� <br /> f — <br /> _ s <br /> Sanled for shipment by:(signature) Da1elT'ma Shipment method- <br /> Comments: <br /> eltiod Comments: <br /> - J <br /> Receiving Laboratory:Ptaasa raturn original form attar signing for receipt of samples. ; <br /> II <br /> �i <br />