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COLORADO <br />ANALYTICAL <br />LABORATORY <br />SOIL <br />WATER <br />ENVIRONMENTAL CHAIN OF CUSTODY RECORD <br />CLIEN AME <br />~~~~,,,,,,~~ ~~~~ <br />~~i1/K/'G ~.~ CLIENT ONTACT <br />~~K/ / ' <br />~ ~'"(U~7 / ~ <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 Mo 007185 <br /> ~~~ ' ~~~ ~ Brighton, Colorado 80601 <br />2313 <br />303 <br />659 <br />TELEPHONE - <br />- <br />FAX: 303-659-2315 I,qg » <br />FAX P.O. NO. TE STS REQ UES TED <br /> <br />S 'rcle One): <br />WATER IL SLUDGE <br />OTHER (Specify): <br /> <br />NO. <br />OF <br />CONTAINERS <br /> <br />v <br /> <br />~ LGN <br /> <br />LOC <br /> <br />OC <br />ATE TIME CLIENT ID ~ DISP <br />! D ! 32(7 ; f h'- ~ <br /> DUE <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />COMMENTS: ~~ ~i~ ~ ~ ~ yGln,~ I_ ,1 DE~kVE D <br />RELINQUISHED BY DATE/TIME RECEIVED BY DATElfIME RELINQUISHED BY DATE/TIME RECEIVED BY DATE) TIME <br />240 S. Main St. Brighton, CO 80601 [303) 659-2313 <br />Mailing Address: P.O. Drawer 507 <br />Brighton, CO 80601 <br />1 <br />_~ <br />J <br />