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<br />file ~:'Zt~l?7
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<br />Date: 7 me: ~ e er:~„
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<br />I: FIitEL1~~5A1~4IMCi:.~.:~ W;;~ :t~-.~"•'.:~-'~.5. .-s,..
<br />Site~.y~- Flow/Level pH EC TemQ Comment
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<br />I.Sil~ rotor Sam les~m • \C~1C$S 01 O
<br />Lab: Cz Pa~r•ametersp: Ui ,.~.iw. Descr ton: • F s • ~
<br />Disposition: <lU'~ilyr,•C ,•.~ ~~i•.J. ,«~ a /Compose e:
<br />Sample Split: ~S ommen s:see~i .y rc~ (.~~,~ooml
<br />Flow/Level: H: 96 Temp. Ss.y~ EC.35y~,.«lAther: -~
<br />2. Site ID.:
<br />Lab:~~T Parameters:Bs~t~^'s~,i,.,o Descr ion:
<br />Disposition: ,,.,.~I,,.~.,. ~„i<< ,_rab Compose ee:
<br />Sam le Split: ~~ ~omments:s,~^ ,-'t blow 0•w,T A ...s.>n
<br />Flow/Level :ng•~'Hf,..,D~~~14 Temp.~_~~i~e :~-
<br />3. Site ID.: (S ~~,~
<br />Lab: ~. , - a~rameters:~:,,,... ;..F.~. 'Descriesion: ;, P ly t~, c~_
<br />Disposition: ,,. ,~r ra omposite:
<br />Sample Split: yy' omments: ~, -3~ _ ii.,., ~'
<br />Flow/Level: ,T~• pH:gTTemp.~_ tb_Pr'Z4~nur.Les
<br />4. Site ID. ------;-~^a*~^^• ~ ~ ~ - ~ H
<br />Lab: a % ~ Parameters: ~ , .~ . ~ ~ u.Descr' tion: ; „ ~ ,,,,~ ~„ 1, ,. i
<br />Disposition: ., rob Compos- t~~
<br />Sample Split: omme ts: ,f r ~
<br />H>~tevr;-~.-_ ' pH: a,s Temp. S7.n° ~ .~,yp,~,.~ er
<br />5. Site ID.: Location:
<br />Lab: -Parameters: escrip ion:
<br />Dispose- t~ Grab/Composite:
<br />Sample Split: omments:
<br />Flow/Level: pH: Temp. ther:
<br />CHAIN OF CUSTODY
<br />i. iransrerrea rrom:
<br />1. Transferred from:
<br />1. Transferred from:
<br />1. Transferred from:
<br />Received at Lab by:
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<br />,~ ~ ~,. To:~y~a,L~~ime/Date:? B 143
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