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f •• ~r <br />-II~i1.IRG <br />-~ <br />Chain of Cr~lstody Record <br />~.. <br />Customer. `'°`~s-c"'R"a -~.~s-`°,,,,~ Sampler: ~,~9,r.,,~ <br />Sample Date:/3 ,mac. ~,~ Project: <br />Sample # Date Time Composite/Grab Location Analysis Requested <br />yes od7 13pct?.aw ~~ /9~r G~'Q'f~i ~O•vo Oa7 War 7-c'S7' <br />:d /J .w Jt.. a.. <br />Record <br />Relingpishyd by: <br />__~ <br />Relinquishod by: <br />Relinquished by: <br />Sample Rexived Lab by <br />Received by: <br />~~~ <br />Rece' ed,>~y: <br />eeeived by: <br />Date~1'iax <br />i2~lb-oa g~3u h.wt <br />Datelfime <br />Date/Time <br />Dateli'ime <br />Commenb• <br />Temperatdre Received to the I.ab: Effluent: (. $ °G . . <br />Reoeiviag water: <br />I Cmiv: N~ to~/ (4d pdhery - - Nr(w! Y ti-~i~ tee- - aapla. <br />If a'Ir/a <br />N WF.T.Ye <br />~~ Co~sMe~3'/N CuiuAy3abUedY/id OOC~d Mueht <br />er Slbpel fde~Y/N/NA ~uaY/N Ya <br /> Ne <br />aAYre.//,~kMa1 CanaCa~UdT <br />/ s~ En4M1 <br />~ ~s~ Q~wlryditaaivi~ <br />No Z No ::_::.. <br />Ns Y~ <br />No <br />~~~ _.. <br />p" T. Inc. May 22, 2000 <br />