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Thy d~nCrert Group Chain a# Custody Record Purchase Order NumbE; I <br />An EnrlronmenYl Servl¢ee Company <br />1341 Cannon Street • Louisville, Colorado 80027 (enclose with each shipping container) <br />303-661-9324 • FAX 303-661-9325 <br />Project Number (iab use eoiyl <br />Client: a. Contact:. .-1~v %S ~ ~ Address: f~~l~ D~' S 9 ~ ~ L <br />Program/Site: W l~ ~ Elk 1111n t~ Phone: ~97C1) - q~. 9` r~--a.3~ Sa m~re-~ 0 <br />Acute Chronic These fields may be used <br />Collected by: for Reid test reruns <br />3 a 3 a <br />o °' o .•°.' ~ J• 6 <br />Sam le <br />Sam le Identification Date T pe v S ~ ~ T ~ ~ o v ff Total Total <br />P [~~~.~I..J Ti.. Y L /! ~ I I..i1n \/..I„me~ <br /> <br />1 lenmem, necervm . auunnnui, ns omer <br />0l 7 ~-f f ~+.-... •__ <br />~ 6- oS . •• ••_ <br />l ~o ~~.~, ~~~,~. ~_~~ <br />G <br />X <br />.~ <br />~-- <br />2 ~ C <br />3 <br />4 <br />5 <br />6 <br />7 <br />8 <br />9 <br />10 <br />Comments and special testing instructions: <br />Relinquished by: <br />Relinquished by: <br />Next recipient: _ <br />Representing: /<fL Ls To Whom: yl /~ ~ Date/Time: b'6' V~d~iYt/ <br />_ Representing: To Whom: / r Date/Time: <br />_ Relinquished by: Recd by: %'L/ Date/Time: "' 1""~ ~ " <br />