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VIRONMENTAL PROTECTION AGENCY <br />Environmental Services Division <br />REGION VIII, ONE DENVER PLACE <br />99918TH. STREET ~~ <br />CHAIN OF CUSTODY RECORD DENVER CO 80202-2413 <br />PRO). NO. PROJECT NAME t " ~ <br /> <br /> NO <br /> <br />SAMPLERS: (Signature) . <br />aj <br /> ~P l ~ <br />m/}~ ~/~~ // <br />" " L w" " <br />' REMARKS <br />-~ CON- <br />' TAINERS r- ~~ <br /> <br />STAT. NO. <br />DATE <br />TIME d <br />~ m <br />¢ <br />STATION LOCATION ~ '„1 <br />~ <br />~~ tri ~' <br /> U <br />r^ ~ <br />`~.1 <br /> / 1 r ~ ~~ e{-.-~ <br /> ,: <br /> ,~d1 <br /> ~ fi <br /> V <br /> t . <br />C <br /> <br />l p~ <br />o <br />~ ( <br />~ ~ <br />~C <br />-- <br />\ <br />O t ~y -7~+p <br />0 ~~ /J C) v <br /> r <br /> ~ ~ i. <br /> ~ <br />N rl <br />a . <br /> ~. 1` <br /> ~ U~f" t <br />0.1 S 1 <br /> ~7 <br />l{'Y1c~OrY ,5 " ~ 4d ,Fr <br />cOrO Q <br />f tf `vY ] <br /> 5 r.P ~ih ~ " <br /> ~o ~ ~ ~ <br /> <br /> ntA~.Q_ h U c,~..t S Glt G>J1 <br />Relinquished by: (Signature) Datelrime Received by: (Signature) Relinquished by'.{Signature) DatelTlme Receivetl by: (Signature) <br /> C <br /> ti: <br />Relinquished by: (Signature) DatelTime Received by: (Signature) Relinquished by: (Signature) Date/time Receivetl by: (Signature) <br />Relinquished by:(Slgneture) Date/Time Received for Laboratory by: DatelTtme P.emarks <br /> (Signature) <br /> ,.; <br />D19trI0utlon: Original Accompanies Shipment FUat Copy to Coortllnator Fleltl Fllea: Secontl Copy to Representative of Inspectetl Fai{INy <br />R8 EPA4148 (4-21-88) <br />Split Samples: L <br />(] Acceplatl ,t-I ~scllnetl 5'g ei r <br />1 8-18381 <br />