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TestAme 7enver <br /> 4955 Yarrow Tee+-A- : a <br /> Arvada, CO8DD02 Chain of Custod; cord <br /> :lir lrADr.ill rNVInnNMr-ATA1 Ir' Miln <br /> Phone(303)738-0100 Fax(303)431-7171 <br /> Sampler Lab PM* Comer Tracking NO(S)' COC No: <br /> Client Information Harrington,Danielle M 280-66800-226201 <br /> Client Contact Phone, E-Mad Page <br /> Paul Kos idanielle.harnngton@testamericainc.com Page 1 of 1 <br /> Company Job q- <br /> Norwesl Corporation Analysis Requested <br /> Address Due Date Requested: Preservation Codes: <br /> 950 South Cherry Street Suite 800 A-HCL M-Hexane <br /> City TAT Requested(days): 96 e-NaOH N-None <br /> Denver o C-Zn Acetate O-AaNa02 <br /> Slain ZED <br /> 0-Nitric Acid P_Na204S <br /> CO,80246 c : E-NaHSOd O-Nn2S03 <br /> v n F•McCH R-Na2S203 <br /> Phone PO Ino o G-Amchlor S•H2SO4 <br /> Purchase Order not required o Q f H-Ascorbic Ac,d T•TSP Dodecahydiate <br /> Email WO# =` ~ o m —1• I-Ice U-Acetone <br /> pkos@notWestcorp.com \� J-DI Water V•MCAA <br /> z K-EOTA W-eH 4.5 <br /> Protect Name, Protect N• m q „ w n `•' C <br /> Colorado Springs Transit 28013507 L-Eon z-other tspe nyl <br /> > c > 1 <br /> Site SSOWp C t7 ~ z— i, t n Other. <br /> E <br /> Sample Matrix = "o `o _ °? O a LL v m E <br /> Type L. <br /> u a 3 r of t al u nt f Z <br /> Sample (C=comp, ua..nr u 2 at o Z " n o o H o \�) <br /> Sample Identification Sample Date Time G= rob er.n•sw,n•Nr it R u H n W x : H v Special InstructionslNote: <br /> _" - ...� - �• „_• Prdservation 's: O N N D N N N IB IN N <br /> c-14 1a1 I.7 6A1.1-b G Water Av IV <br /> O Login Shortholds include pH,IC nitrate,IC <br /> o LTG 7s/ 10 i 4130 C Water Al f, nitrite <br /> W LTC -Gw- l CP 3 rD t t�3a c water nl /V U N N N N ,�l <br /> Water TA Savannah shorlholds must be sent out <br /> the same dav as collection <br /> Water for MBAs and Odor <br /> Water <br /> 280-100141 Chain of Custody <br /> Possible Hazard Identification Sample Disposal(A fee may be assessed If samples are retained longer than!month) <br /> =Non-Hazard C3Flammable Skin Irritant Poison B Unknown Radiological 1=1 Return To Client =Disposal By Lab Archive For Months <br /> Deliverable Requested:I,11.III,IV,Other(specify) Special Instructions/QC Requirements: <br /> Empty Kit Relinqul by: Date: Time Method of Shipment, <br /> Reli is ed by. DaleJTi et Cn pony R Dale+Time Company <br /> 00 Relinqu ed by. Daterfirrie, Company Recmved by DaterTime Company <br /> N <br /> NRoUngmshed by Dalerrime, Company Rmeved by Date/T ime Company <br /> O <br /> v Custody Seals Intact: Custody Seal No.: CoNer Temperatures)°C and Other Remarks <br /> A Yes A No <br /> .7 1 ( �n. -nn /0 11 !A <br />