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D.I. COACT TEST RECORDATIO• FORM <br />SAMPLE ID's: ~' j -1 . ':. 3 ~l s <br />LOCATION: ~a~ ~ ~~~.~/ ~.ti.l.~aai, c,/,7, <br />SAMPLE COLLECTION <br />DATE: j/~/ B~° (P <br />ADDITION OF D.l. <br />DATE: /x/3/3 ~ <br />TIME: /`/O° -~~~ <br />SAMPLE TURNED <br />_______ _DATE: /.z/s//9G <br />TIME: /7 3~ <br />TOTAL HOURS OF CONTACT: ~a,b <br />NOTES: <br />TIME: /Co 3 a <br />RATIO: 3 ; /K D. ~ . <br />WATER SAMPLE PULLED FOR TESTING <br />DATE: / Z /G~ /Q G <br />TIME: /~ ~ ~ <br />SIG ATURE <br />