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TestAme�'-- Denver Test�4 lea <br /> 4955Yarrow Chain of Custod cord <br /> Arvada, CO. <br /> Phone(303)736-0100 Fax(303)431-7171 nu 11 ALIEN n1 ENVIHUNMI-N1AL ri SnN(., <br /> Samp" Lab PM Carrier Tracking No(s), COC No <br /> Client Information Harrington,Danielle M 280-52986.19089.1 <br /> Client Contact Phone Q E-Mall Page <br /> Angela Welch LO I I Lp dantelle harrington@testamencainc.com Page 1 of 1 <br /> Company. Job Al' <br /> Norwesl Corporation Analysis Requested <br /> Address- Due Date Requested: Preservation Codes: <br /> 950 South Cherry Street Suite 800 A-HCL M-I lexane <br /> Cdy TAT Requested(days): <br /> B-NaOH N•None <br /> Denver ,. C-Ln Acetate O-AsNaO2 <br /> Slab Q n D-NaHSO4'd O-Na2SSO3 <br /> CO.80246 <br /> Z1"r�") F `+ F-1NeOli R-Na2S203 <br /> Phone _700 � I PO H p'° E Z G-Amchlor S-H2SO4 <br /> / p e o v v li•Ascoibic Acid T-1 SP Doducahydrale <br /> Email WO 11, Y t n ii I•Ice U-Acetone <br /> awelch@norwesicorp.com o Air; Pr N J-DI Water V-MCAA <br /> Project Name; Protect# d �� A InK-EDTA W-ph 4-5 <br /> Colorado Springs Transit 28013507 a ter L-EDA z-other(specify) <br /> Sio Co�vwd SSOWM. a; y J Other: <br /> i s 2 C m <br /> 0 <br /> Sample Matrix o ° u E <br /> Type ( U. <br /> W.—r�,. A O N N <br /> 5-11d. 1 u <br /> Sample (C=comp, ci v 'JwI, S o <br /> Sam le Identification Sample Date Time G= rob) er.r,.,..A-A LL H ,� ,° i u ►° Special Instructions/Note: <br /> Preservation Code: D N S N <br /> L�C — h 3 -� Cr Water ri Login;shortholds Include IC nitrate,IC <br /> CD ' nitrite.Hexavalenl Chromium/pH <br /> cn Water <br /> O <br /> (V Water <br /> Water $# <br /> 280-94432 Chain of Custody <br /> Possible Hazard Identification Sample Disposal(A fee may(�e assessed If samples are retained longer than 1 month) <br /> =Non-Hazard =Flammable Skin Irritant Poison 8X nknown Radiological Return To Client i^' I!iD;sposal By Lab Archive For Months <br /> Deliverable Requested:1,If.ill,IV,Other(specify) Special InstruclronslOC Requirements, <br /> Empty Kit Relinquished by. Dale, Time. Melhod orShlpmenr <br /> Relinquished by OMIT ompeny R ed by Dale/ rcne C y <br /> w 1-� 3 : 5 ' 57 °` AV <br /> Rebnquished by Dalelfifhw Company &A"'960V Ciaterl"rint, Company <br /> CTI <br /> N <br /> O ReNngmshed by OatefTlme Company Received by Dale/rime Company <br /> -4 Custody Seals Intact Custody Seal No Cooler T BeraI re(s)°C and Other Remarks <br /> Yes A No , <br />