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COLORADO <br />SOIL <br />ANALYTICAL WATER <br />LABORATORY ENVIRONMENTAL CHAIN OF CUSTODY RECORD <br />CLIE T NAME <br />n' 9/ /~ n / <br />~NIW~i1lU~/ (/ CLIENT CpppNNNTACT <br />L /~~o~ //~~ <br />`~I/'G(/~ [i <br />Colorado Analytical <br />Laboratory <br />P <br />D <br />507 <br />O LABORATORY <br />USE ONLY <br />CLIENT ADDRESS PROJECT ID /DESCRIPTION . <br />rawer <br />. <br />240 South Main Street 4 <br />N. 0©6652 <br /> Brighton, Colorado 80601 <br />303 <br />659 <br />2313 <br />TELEPHONE - <br />- <br />FAX:303-659-2315 LAB ~ / ~ U <br />FAX P.O. NO. TE STS REQUESTED <br /> <br />Sa atrix ( 'rcle One): <br />WATE tt-SLEDGE <br />HER (Specify): <br /> <br />NO. <br />OF <br />CONTAINERS >2 <br />s <br />_ <br /> <br />~ <br /> <br />-~ <br /> <br /> <br />~ <br /> <br />S <br />- <br /> <br />S <br />v <br />~ <br />= <br />~ <br /> <br />! <br /> <br />~ LGN <br /> <br />LOC <br /> <br />OC <br /> <br />ATE <br />TIME <br />CLIENT ID <br />~ <br />co <br />Q <br />~ ~ <br />~ <br />DISP <br /> •'~ /~ X <br /> ~ ~ DUE <br />^L <br />v ~ <br /> c 1 ~ <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />COMMENTS: D Y: <br />RELINQUISHED BY DATE/TIME RECEIVED BY DATElfIME RELINQUISHED BY DATE/TIME RECEIVED BY ATE/ TIME <br /> <br /> <br />240 S. Main St. Brighton, CO 80601 (303] 659-2313 Mailing Address: P.O. Drawer 507 Brighton, CO 80601 <br />