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y CHAIN OF CUSTODY Page 2r of —A� <br /> Delta Environmental LABORATORYSAM LE SENTTO <br /> Consultants,Inc � �wL <br /> ��. Delta 3330 Data Drive,Suite 100 <br /> Environmental Rancho Cordova CA 95670 <br /> Consultants,Inc 918!638 2095 FAX 9161638 8385 qt <br /> Analysis Requested& AB RESS y <br /> PROD NO PROJECT NAME ,0/ 011116 'ncc Container Description <br /> PROJECT LOCATIONW1, <br /> f z <br /> PROJECT MANAGER 4 <br /> SAMPLERS(Signa to) U <br /> LL <br /> 0 <br /> L <br /> W lam+ REMARKS <br /> LAS A. <br /> TORY SAMPLE ID DATE TIME SAMPLE SAMPLE LOCATION z <br /> SAMPLE ID TYPE <br /> -3--3� ll►Sb S -3 35 � ✓ � <br /> n � <br /> u sl4evkol I?, <br /> h� A 30 <br /> 5 �aO <br /> Relln Ish b (Sig ure) ate Time Received by (St nature) \' Relinquished by (Signature) Dale Time Received by (Signature) <br /> A Ilnquished b ( J n ure) pa a Time Received or Laboratory y (Signature Date Time Turnaround TI e <br /> Z Kw ����lwr' <br /> 7� <br /> Sealed for shipment by (signature) ' DatelTlme 7 %v� Shipment method <br /> Sampler Comments / Laboratory Comments. <br /> Condition o1 SamplOS' t <br /> White Return with analytical results to Delta Yellow Laboratory Copy Pink Delta's Copy <br />