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' ~^nANT ENVIRONMENTAL, INC. <br />SC!ENTECH <br />' S,:MF'- R=CORD - SOIL SAMPLcS <br />Project No.: ~Z3/c/ Sample ID: S-~ <br />Project rtam~ t2~ ~RO~Ersti H+r,vF ~~Lh+rT Dave: 1~13~Ga <br />' Date: [ f3 ~ and Time: G /S a.m./~ of Scmplinq <br />' Sample Collected By. ~ g,.~ ~_ <br />Weather. /~~~ i~ _ n ~~~ <br />' Cheak-Cf' Ece2i Item As Completed <br />' 1)~ Field Ecuioment Cleaning 3efore Usa <br />Items leaned and method: Shy~ < Li.-„ /~ , <br />2)~ Scmoting Method <br />' Hand Auger Other <br />Onciptton of Method: r.Gw_,/ lsi.~, a i. <br />- i w s <br />t <br /> <br />1 <br />1 <br />lJ <br />1 <br />3) ~ Scmpie Containers <br />(material, numcer, size): ~ - ~ ~/IT% ~<fr <br />4)_~ On-Site Samole Preservaiion <br />None On-Ste (descbe baiow) <br />Method: Containers <br />Method: Containerx <br />Method: Containers <br />5)~_ Container HandllnS <br />~ Container Sdes ' abeled and Lcceis Tarred <br />K Container ! t'r~ Tcped <br />x Container ?laced in Ice Chest <br />' 6) <br />1 <br /> <br />Other Comments <br />7) Samole%s 9gnctura- ~~" '~- Datc ~;.~- <br />1 <br />