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9RANT ENVIR0NM6~1TAL, INC. <br />scll=NTECS~ <br />' SAN. P'. RSCORD - 501! SAMP! .S <br />Project Na.: X23/y Sample ID: s t~ <br />' Project llama S/Ci~t ~.7d,~gzn~ i"ti,.~c l~cun.~f Dace: J I ~~°~ <br /> <br /> <br /> <br /> <br /> <br />Dote: [~13 fJ and Time: ~Hv a.m-/pm. of Sampling <br />Sample Collected ray. ~~3K.-„ <br />Weather. ~f~ /~-- ./~ L[i/r <br />' ~~ <br />Check-Cff coal Item As Completed <br />1)~ Field °Guipment gearing aerate Uee <br />2)~_ Scmoling Method <br />' Hand Auger Other <br />Deecrlptlon of Method: ~ F.1 ~~. <br />b.r ..Lc <br />3)~ Sample Containers <br />(material, numcer, size): off- - I <br />' 4) ~ On-Site Sample Preserwtlan <br />_ ~ None On-Ste (desc3e below) <br /> <br /> <br /> <br /> <br /> <br /> <br />Method: Containers <br />Method: Containers <br />Method: Containers <br />5) er Container Hanaling <br />_~ Container Sdes Uabaled cnC Lcoais Taped <br />~ Container Jds Taaed <br />~ Container ?laced in Ice Chest <br />6)_~_ Othor Comments <br />T) Samoier's Signature:- ~~ r' -""+~ Data l~[3/0~ <br /> <br />