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V <br /> 14, <br /> Energy Laboratories, Inc. I1Ii ! IOIII CHAIN-OF-CUSTODY RECORD Page 1 of 1 <br /> 2393 Salt Creek Hwy'PO Box 247 016020332 11-Feb-16 <br /> Casper,WY 82602-0247 <br /> 307.235.0515 Custody Seal: Y N <br /> Shipped By: <br /> Intact: Y N <br /> Receipt Temp: <br /> Subcontractor. Signature Match: Y N <br /> ELI-Bilings _ - <br /> -- •- - ------ = Tests <br /> 1120 S.27th St. <br /> Requested r <br /> Billings,MT 59101 z� :v * i1 f <br /> TEL: (406)252-6325 FAX: (406)252-6069 f 7 I , 1 <br /> Acct#: 1 <br /> 0 <br /> Sabcontractofa Client: Cotter Corporation <br /> m <br /> Rush Sample ID Matrix Collection Date Bottle Type v I I j 1 J __ __! , , 1_1 _ 1 j <br /> ❑ I C16020332-001F 7 Aqueous ] 02/09/16 01:15 P 1 1-250ML-P-NF-H26041 F1-1 1 I r H -1 7- 7 _ • i ! _I 1 PJ ---I r_ 1 <br /> ❑ `016020332-001G ! Aqueous ; 02/09/16 01.15 P 1 1-500ML-AP-NF-NAOH L 1 7 • L i -1 7 1 - L-_ I _7 -1 r-_— - r---1 ,—1 <br /> Earliest Due Date: 3/112016 <br /> Comments: <br /> QC Level: 1 <br /> STD <br /> - -- - L ------ i Date/Time — — — - <br /> 4 <br /> Relinquished by: - Vtt/f6 14:+41 Received by: _ <br /> Relinquished by: ____- �.-_ Received by: _ —__ <br />