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EN1-- - NM__. --1L <br />CHEMISTRY <br />SERVICES, INC. <br />'_ 'J"I ' u <br />CHAIN OF CUSTODY RECORD <br />REQUESTED ~ <br />TURNAROUND TIME: ~'~"~ r _ -___._.___ t <br />PROJ. NO. PROJECT <br /> <br />9~ IU ~ r0 /l <br />SOV{"~W2~Sf.'~h y C~r~1ahG,~eNk°/y~T ~J . <br />ANALYSES REQUIRED: <br />SAMPLERS: .s, ~.~ <br /> <br /> O <br />REPORT TO:.v.„n ri „~~.• s c,~,~,~,,,,~ O REMARKS <br />I~sT,1"G l1 d Vl Yl s '~o !~ ~ <br /> ~ <br />SAMPLE <br />ID DATE TIME SAMPLE LOCATION SAMPLE <br />YATRI% 1 OF <br />COH- '(,~ <br />JU <br /> TAINERS 111~~~ <br />sµ- :Z,s ~~ CIS sa.,7~le ~dl~ 1 ~f z.s' s.; I <br />- <br />--- <br />- <br /> <br />N - I <br />~g~y~ <br />~ I5~ <br />S a m ~ 1e=6-~g_le ~. _ <br />YVN{-e <br />3 <br />- <br />-- ~,nz <br />PAZ ~nY~ <br />lo~ <br />~e~~~ <br />~N~~.~ B 4 520 Sq ,r-t~ e No Le 2 at z.s ~ SDI' . I- - - - - - . <br />_ <br />1AZ ~•, ~~ :>+n~ w~ 5-r~-. <br /> <br /> <br />~L-!L•~l-L j[/9_ <br />~ oa <br />(2 _~ere t?d ~~e ~- ( a+ ~ ta~ ~ s_, <br />I - I - - <br />- : f~ / <br />l~q ~ 1 <br />1Y20 ~7o r2, Ito ~'e 1 2 k,~' ~ {"~ ~J' l <br />e ~ 1 ~ - - <br /> - - <br />- - -- <br />'13~ "3 ~~(R (~>? F~arct'Ie~~ 13 4f ~ foj/ o~ ~ - <br /> <br />' - - <br />~H__l4'1=L q~ I~a~ Rorellole-j~~( ,r-o 2 e, I I -- - --- - <br />~«•_-~ ~ <br />~~ 4~,~s ,moo re ~d I~ <br />~~t-~ 0 3 s-~ L -~- - - -- - <br /> _ -- <br />M~JO _- sf~~la l Man,-~r~, <br />~ <br />' - - - <br />~(_~ _ ~~ I~I2 . _ Dh~ r„ <br />~~ I I ter - - -- <br />(~~42_ s~j. 4?2~ Mon ;•f-q~;~ INe IZ ~ - - - <br />Mw-1 <br />3 a~~ ~ ~k, fo ',n wed I-~ <br />, #~r - - -- <br />T f <br /> ~ f <br />W- 5 a 9 Kle I~ <br />h r~ er 3 <br />R n fished b : a ~itm„ , ale/Time Received by: ~5yn n,.r~ Relinquished by: syn,e,•o~ Dale/Time Received by: ~S,v^,iwri <br />~ <br />elinquished Y: ~s^~ '~„'ri alel Time Received for Laboratory by: Dale/Time <br /> <br /> Ja ~ 5-r3 ~, 0810 Environmental Chemistry Services, Inc. <br />REMARKS: 7108 5. Alton Way, Bltlg. E <br /> <br />~LV ~ ~ ~~ <br />I, , ~ ,\j Englewood, CO 80112 <br />303-850-7606 <br />