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Chain-of-Custody Record BARRINGER LABORATORIES, INC. < <br />15000 West 6th Ave. Suite #300, Golden, Colorado 80401 <br />Client odo ~ ,v. ~ w. I" ~~ n,a~o ~. Contact ~~„ ,.~ (303) 277-1687 Toll Free 1.80054.0506 FAX (303) 277.1689 <br />Address t I C-reo 'Phone p gt,(,- 3~ (, ~ FOR BLI USE ONLY <br />BLI # RS )393 <br />~~ $O~ Fax 3o g a _ sio ~, <br />Project I D L- gl - ao{ ~ P.O. Number ANALYSES REQUIRED <br />Indicate Parameters /Methods / Vo-umes /Preservatives SAMPLES WERE <br />r. Shipped el'rvered <br />SEND <br />^ RESULTS ^ BILLING T0: (fill in information it different hom above) <br />VOL z. Ambientr <br />s. In good condition N <br />Client Contact PRES a. Propery preserved ~ N <br />5. Within twlding times N <br />Address Phone ~ ~ <br />~ ~ <br />~ COC TAPE WAS: (circle) <br />Y <br />k <br />P <br />Fax ~ <br />_ ~ <br />y ~ N ~ resent on outer p <br />g. <br />1. <br />2. Unbroken on oNer pkg Y N <br />PLEASE STANDARD TAT ^ RUSH TAT (spedly TAT or date results required): <br /> <br />SPECIFY <br /> <br />NOTE: Rush TAT is subject to a surcharge <br /> <br />d <br /> <br />1 <br /> <br /> <br />y~ Q <br /> <br /> <br />o 3. Present on sample Y <br />d. Unbroken on sample Y N <br />5. Sample labelslCOC record <br /> <br />in agreement? 0 N <br />i <br />h <br /> <br />BLI <br />Date <br />Time <br />No' -$ <br />m ~ <br />J 0_ <br />J e above quest <br />ons <br />IF the answer to arty of t <br />Is N0, please see attached Call Repon <br />ID # Collected Collected Client Sample Idenfification Matra of <br />Botlles m <br />m r= <br />u= ~ U ~1 Corrvnents <br /> <br />~ a ~t 7kl L-a~o~ ( <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Comments / Spedal InstrucEOnS <br />~' <br />~L1NY~~PMI~bPrhi2CHAW <br />~~62Iz3 I9 ~ ~ L~C~ <br />by Date rime <br />'a Relinquished by DatelTime Recened by Dale rime <br />Dale rime ReceNed by <br />