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~. ~` . 7'. Inc. <br />Water & Environmental Tat(nelne 235 West 400 Saalh..1 merleax Fork. Utah 84003 (8011763-0660 Fax (8011763-0440 <br />Chain of Custody Record <br />C~.ctomer. <br />Date: <br />Sampler. <br />Sam to In formation <br />Sample # Date Time Composite/Gra6 Location Analysis Requested <br /> z6 i)~~n ~ <br />,2-g-~j tuPUeS o07 +.utT 'TST sfs -c <br />N,I ~ lei vr?,. t) / G /.+-s7~S to v NV~I TnT r-i /~c <br /> <br /> <br /> <br />Sample Custody Record <br />Re ' _:..,..a / Received by: <br />~S <br />/ Date/I'ime <br />~ <br />• t <br />1 <br />Relinquished by: Received by: Datelllme <br />V P ~ . ~i~o'~-C. I'l--y~-v 1 9 ~ 3o fi~ <br />Relinquished by: Receiv DatelTime <br />~ 1 fra~-e h-27-W S-`3a <br />Sample Received in Lab by Da e <br /> <br />Temperature Received in the Lab: Effluent: i(. Vi `G ~~ <br />Receiving Water• ~• ~ ~ G (yD8 <br />coakr:wex sen ~L _ <br />eao<~«_ x..aodters <br />w'-' <br />"- se.Hedm s.vga <br />Q~°~~odY NlsUttdY 1~ Samges- . <br />CiOCu~ Mtec6T <br />N.~ T Nu <br />eeoloeilt.nmat! ae.ceeumer. sedeidealQn.H(~ s.tfktestQn.atr oe <br />Ye <br />No ~ Yea <br />No ~ Ssrapk' <br />Yes ,~ atrtiFrfsa W.OeYI <br />Ya <br /> No No <br />S•~- nc~ <br />