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W.E. T. Inc. <br />Wolcr & En v/ronm rnm! Tat(n r /ae. 235 Wes! X0 0 Soalh. Amalcan Fo rk. Ulah dI003 ( 801)763-0660 Faz (8 0 11 763-0!(0 <br />Chain of Custody Record <br />V ~+L.~ c,a.y <br />Customer. / (.~,.~ Sampler. T k,,,, <br />Sample Dates Z ~ Q'Z Projoct: <br />Sam le In formation <br />Sample N Date Time CompositdGrab Lontioa Analysis Regocsted <br />a ~ ~~'~v2L! ~/ ~ `t!0 !r}' G'.2,y.Pj 'J/~5 0~~ WtT 7~sZ~ N9 <br />, ~ `t/e~7 7~-~sTdi/13c <br />~~ <br /> <br /> <br /> <br />Sam !e Ctitstod Record <br />Rel~nuu' 1 ed Recdved by: ~ n S Date!['ime <br />Rdingaishcd by: ed <br />: Date/I'ime <br /> ~ <br />R <br />h by ~ <br />,,p <br />R <br />//y <br />/ <br />/ Datdl'im <br />e <br />yA~ ~ ~J <br />/ <br />/ <br />/ <br />. yJ <br />_ - f <br />Sampl R~1Yed in Lab by )7'ate/ISme <br />Comments: ~_ <br />Temperature Received in the Lab: Effluent: `/ `~ <br />Receiving Water: <br />NET. I.e. Ibe <br /> Gaoler: Wet tee / filar Derr Aeefie/ Y Sssspla SassWes- <br /> WLT. Lr. C~vfer / N Orslod~ Sins ~ COC s.d I~hels Msltit <br /> flair 4r _ SY~ped _~L SoFct / 1'IA I.~tt Y / n Ya <br /> Neee W <br /> BroYal / lestlstT CsrrM ClaWacrs IfaeQt Sadadesa Qasrtlry S~rfeal Q•~10'•l <br /> Yes Ysa lu0fet Yur/rIrQ N.Otrt <br /> No ~_ !(o Ya `~ Yes /- <br /> n. n. <br /> <br />