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COLORADO <br />I~INALYTICAL WATER <br />LABORATORY ENVIRONMENTAL CHAIN OF CUSTODY RECORD <br />CLIENT N E <br />D <br />~(~vt ~ <br />~i/L~ - CLIENT CONTACT <br />1 ~ 1Cr <br /> <br />s~lt/C O~j f L <br />ColoradoAnalytiasl <br /> <br />aboratory LABORATORY <br />USE ONLY <br /> <br />CLIENT ADDRESS <br />PROJECT ID / DES~C//RIPTION <br />~ ~~ ~ <br />" "D~ ~ ~' ~~ P.O.Drawer507 N~ <br />240 South Main Street 006006 <br />S( (~rE (`f~/ L~ B~r`j ~ ~ Brighton, Colorado 80601 <br />TELEPHONE <br />~p=j -(f L3- 2-[ DO 303-659-2313 <br />FAX: 303-659-2315 ~%~/ ~ <br />LAB p Z~ 7 <br />FAX 03 Z - ZIP ~ P.O. NO. TE STS REQ UES TED <br /> <br />Sam (Circle One): <br />WATER SOIL SLUDGE <br />OTHER (Speciry): <br /> <br />NO. <br />of <br />CONTAINERS <br /> <br /> <br />~ <br /> <br /> <br />z <br />~ <br />of ~ <br />= LGN <br />~~ <br />LOC <br /> <br />OC <br /> <br />DATE <br />TIME <br />CLIENT ID <br />~ ~ <br />DISP <br />Y~ ~ ~ 30 ~ ~fi Z X ~ ~~ <br /> DUE <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />COMMENTS: ~ie ~ `-API R ~ ~ = , ' <br />ccu-F;c, Ce~r,Q: Z~S~ DELIVERED By <br />REL'~NOUISHED BY DATElfIME RECEIVED BY DATElTIME RELINQUISHED BY DATE/TIME RECEIVED BY DATE/ TIME <br />240 S. Main St. Brighton, CO BOEO'I (303] 659-231 3 Mailing Address: P.O. Drawer 507 Brighton, CO 80601 <br />