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TestAme• Denver Test�Yr yea <br /> 4955Yerrov Chain of Custod .cord <br /> Arvada, CO— 2 <br /> Phone(303)736-0100 Fax(303)431-7171 Tirr L rAnra ur r4V1Q0NMrNTAt Tr'TING <br /> Sampler Lab PM Carrier Tracking No(s) COC No. <br /> Client Information geo%r BRwTO/t/ lHarringlon,Danielle M 280-66800-22620.1 <br /> Client Contact, Phone � E-Mail Page <br /> Paul Kos �'782�©�6� danielle.harrington@testamencaine,com Page 1 of 1 <br /> Company Job a <br /> Norwest Corporation Analysis Requested <br /> Address Due Date Requested: Preservation Codes: <br /> 950 South Cherry Street Suite 800 <br /> A-HCL h1-Hexane <br /> City TAT Requested(days): v <br /> Denver c C•Zn Acetate O-AsNa02 <br /> State,Zip n 2 D-N,tnc Aad P-Nn204S. <br /> CO,80246 e E-NaHSO4 0-Na2SO3 <br /> p F-McOH R-Na2S203 <br /> Phone PO#: -� A G-Amchlar S-H2SO4 <br /> Purchase Order not required C < u f H-Ascorbic Acid T-TSP Dodecahydrate <br /> Email WO#- Z �. I-Ice U-Metope <br /> pkos@norwestcorp.com g o o s o `o J-DI Wale, V MCAA <br /> Project Name Project N m ,E, z m A ' K-EDTA W-pH 4-5 <br /> Colorado Springs Transit 28013507 $ o c $ N A L•EDn z-other(spenly) <br /> Site SSOWa C ~ Z N a ls- N s <br /> IIVVh311 T v Other <br /> = O <br /> o I $ E <br /> Sample Matrix o o Y v m O rn rn - $ <br /> v = o a r O i O .� Z <br /> Type (vnw id, IL t; < N of fi Z o Z <br /> s•.a . <br /> Sample (C=comp, r>n.„i�ow. 2 0 3 S�° e " g s o� V ti <br /> Sample Identification Sample Date Time G= rab eT=n,.w,..u {g $ $ $w' r m N N e y Special Instructions/Note: <br /> ni _ « - :;1iv±� _ - =w:, _ Preservation b N N- O N N N B NCD :, IV <br /> co <br /> co �-TG �1.2—C#2.^ 8 9_./7 /3:Z[I Water Aa L ? 1 2 1- 1 1. i- I. ,X II <br /> OWater A Login-Shortholds include pH.IC nitrate,IC <br /> IN i nitrite <br /> mWater <br /> Water TA Savannah shortholds must be sent out <br /> the same day as collection <br /> Water for MBAs and Odor <br /> Water <br /> 280-100110 Chain of Custody <br /> Possible Hazard Identification Sample Disposal(A fee may be assessed if samples are retained longer than 1 month) <br /> 0 Non-Hazard =Flammable Skin Irritant Poison B Unknown Radiological =Return To Client =Disposal By Lab Archive For Months <br /> Deliverable Requested:I,11,III,IV,Other(specify) Special InstructionslOC Requirements <br /> Empty Kit Relinquished by. Dale Time: Method or shipment <br /> Rellnquished DalerTirro, Coin an Received by Daief im Company <br /> ( cow crime-+ ' 8 q i? 16o0 <br /> 00 Relinquished by. e3 I e' Com any s Received by ~I Citr Dat�rri Company <br /> f j <br /> ateJT <br /> CO <br /> Reknqulshe —.- DateiTime, Company Received by Dale1nme Company <br /> N <br /> O <br /> —' Custody Seals Intact: Custody Seal No. Cooler Tomperalurels)°C and Other Remarks <br /> v A Yes A No <br /> w7 <br />