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Te men° DLnver 4955 YarroH Chain of Custod :cord des A ,ca <br /> Arvada, CO. z 1 <br /> Phone(303)736-010a Fax(303)431-7171 <br /> THE LRA06R IM`EXAROr1NOMAL TEsTNNGi <br /> mpler. Lab PM: CarrierTraddng No(s): COC Nc: <br /> Client Information Harrington,Danielle M 280-43276-16771.1 <br /> Client Contact „(( _ E <br /> o E-Mall: Page: <br /> ewivelilil. rC!✓ �p I danielle.harrington@testamericainc.com Page 1 of 1 <br /> Conpany. Job# <br /> Norwest Corporation Analysis Requested <br /> Addrew Due Date mod: Preservation Codes: <br /> 950 South Cherry Street Suite 800 et A-HCL M-Hexane <br /> City- TAT Requested(days): i B r -NaOH N-None <br /> Denver I C-zn Acetate 0-AsNa02 <br /> Stat%11p: D-N%Ic Acid P-Na204S <br /> CO 80246 I y E-NaHSO4 0-Na2S03 <br /> 3 F-Ue0H R-Na2S2S03 <br /> Phone: PO#: <br /> 7� Purchase Order nested \ 280-73470 Chain of Custody G-Amchlor S-H2SO4 <br /> l(2" Requested p F H-Ascorbic Add T-TSP Dodecahydrate <br /> Email I O#: Z 1-Ice U-Acetone <br /> � �t (7f�• � J-DI Water V-MCAA <br /> Project K-EDTA W-ph4-6 <br /> Trani Name:Mix ASK D Harrington for Project Number Project#-. r ' L-EDA Z-other(specify) <br /> six- Ss0W#: other <br /> Colorado I D <br /> Sample Matrix <br /> Type ( 0 _• <br /> Sample (C=comp, o. n, 31 <br /> Sample Identificatio Sample Date Time G— rab) err-T--.-- ii v S Gal Instructions/Note: <br /> CD �� j 13S Water Short Holds tinclude: pH,Cr6,300.0 NO3 <br /> and NO2 <br /> W I 2w,. <br /> O <br /> w.Y <br /> Possible Hazard/deritYficadfon Sample Disposal(A fee ma ssessed if samples are retained longer Man 1 mondt) <br /> Non Hazard Flammable Skin Irritant Poison 8 Unknown Radio! ical "Return To Client DiED <br /> s sal By Lab Archive For Months <br /> Deliverable Requestl:1,11,111,N,Other(specify) Special instructions/OC Requirements: <br /> Empty Kit Relinquished by- Date: Time: Method of Shipment <br /> Relinquished by. i Datryiime: ,� ` Company Received b Date/T/�i/ <br /> NRelinquished by. Date/Ti S 7ACom\mppal_ny Received by. De Ste/rime: Company . <br /> N <br /> O Relinquished by.' I DatefTime: Company Received by,. Datelnme: Company <br /> _ <br /> Cr <br /> Custody Seals Intact Custody Seal No.: Coder Temperature($)°C and Oerer.Remarks: <br /> A Yes A No <br /> 0 <br />