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-...-r- <br />ANALYTICA ' <br />ENVIRONMENTAL <br />LABORATORIES CHAIN OF CUSTODY RECORD <br />325 Interlocken Parkway, Suite 200 <br />Broomfield, Colorado 80021 <br />(303) 469-8868 or 1-800-873-8707 <br />FAX: (303)469-5254 <br />CLIENT NAME <br />/. //~~CV /s J -{ ~ ~ CLIENT CONTA~/C,T <br />Jl 1N I~ ~ ~ ~ ~~' 4 ~ r' ANALYTICA <br />USE ONLY <br />N' ~ ~ <br />~ ~ 8 <br />CLIENT ADDRESS <br />~~"4 ~/~ PROJECT ID/DESCRIPTION ~ <br />f <br />7q ~ I.r'~ iC f '~ y„ 1 '_= <br />A /~ ? /r/7~ <br />aC csN J 2 Z <br />~ ~ ,3 - <br /> , LGN ~~ U ~? EO ~7 <br />FAX P. O.NO. TESTS REQUESTED - _ ^ <br /> <br />~'1 2 <br />Loc eL/ <br />Sample_Matrix (circle one) <br />WAS SOIL OIL SLUDGE <br />1 NO ~ OC ~ <br /> <br />OTHER (specify) <br /> <br />er matrix) <br />Ch <br />in <br />f C <br />NOTE <br />t <br />d . <br />of <br />BOTTLES <br />(~ <br />~ <br />., <br />pM L-~-/ - -ia. <br />( <br />: use one <br />a <br />o <br />us <br />o <br />y p <br /> <br />DATE <br />TIME <br />CLIENT ID <br />~ 'C <br />DUE C y~ ~z ~~ / <br />r ~ ~ ~: 5 ~ .~-r c- ~ sE- / ~% <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />COMMENTS MEANS OF DELIVERY <br />RELINQUISHED BY DATE/TIME RECEIVE 9TE/TIME RELINQUISHED BY DATE/TIME RECEIVED BY DATERIME <br /> <br />003-0294 <br />