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W.E.T. Inc. ~~~ ~~~~~~~~~~~~~ ~~~ <br />Water do Environmental Tetfine Inc 399 West 1100 North. B Orem. Utah 84057 (807)135-9741 Fax (8011235-9560 <br />~. <br />~p.i 6:S?~?~ <br />Customer: ~ . <br />Sample Date: <br />Sample Information <br />Chain of Custody Record <br />tLs 41W <br />~ ~ Sampler: /~ . <br />~ / Project: <br />Sample # Date Time Composite/Grab Location Analysis Requested <br />~r~~ <br />of / N <br />o ~ <br />-71 ~ pnlo uor <br />F Lt%LC 7s'S7 N-S'~~~,2 <br />USJ <br /> <br /> <br /> <br /> <br />Sample Custody $ecord <br />Relinquished Re <br />c <br />eived <br />b <br />y <br />: Date/I'ime <br /> / <br />~ <br />_ <br />' <br />_ <br />- ') <br />~^"""`"~`~- `^~-G'am' 7i- -o °I % 30 ~~vt <br />Relinquished by: Recei ed ~7 DatelTime <br /> <br />Relinquished by: ived by: DatelI'ime <br />Sample Received in Lab by DatelPime <br />-J ~~~ -(~ -UI 9•- 3 ~ ~~ <br />Comments: <br />Temperature Received in the Lab: Effluent: 2.5°L, <br />Receiving Water: <br />Cools : Wn lec / Hend Delivery Aait'ed in Shipping Sunpks <br />Blue la W.E..T. Ina Cotpir Canuhic: W/ N Cusmdy Sab Used Y / I~ <br />Nose Shipped / Sesleddll / N / NA Inns Y / N <br />Stmpla- <br />COC ud ls~tr s Mnt~? <br />Ya <br />NO <br />Broken / I.uking7 Corson Contiug~ Used? Sufficient Qrontiry S~mpIC1 SuRicient QiundtY of Remiving <br />Yo Ya / Yrs ~~ WYer! <br />No -~ No No Ya N~ <br />No <br />