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rr.L'. 1 . Inc. <br />Water & Environmental Testin¢ Inc 399 West 1100 North, B Orem. Utah 84057 (801)235-9741 Fax (801!135-9560 <br /> <br />Chain of Custody Record <br />Customer: WC prN F~eIS Sampler: ~ '~o(e <br />Sample Date: ~ / g ~ Project: /~rd T1o~' ~~ <br />Samnle Information <br />r, <br />u <br />Lab # Date Time Composite/ <br />Grab Location r#ttalysis <br />Requested <br /> ~ i9 9 8 I l : y.s o...• ~6~wb IUr'~II ~5 c~ /~,,;t~ <br /> <br /> <br /> <br /> I <br /> <br /> <br />Camnla ('nctnrjv R PCnrc~ <br />------r-- - -- - <br />Relinquished by: Received by: Date/Time <br />~~ '~ead er (J~ 6~7 ~9g /-'ao~~ <br />Relinquished by: Received by: Date/Time <br /> <br />Relinquished by: Received by: Date/Time <br /> <br />X49 w ~ -Lcc tit Sle ~ <br /> <br />~~, <br />' ~ ti- - yy <br />V'1 ~~15 i~ • t S ~~ <br />.~.k ~ ~- <br />Comments <br />Temperature Received in the Lab: ~, <br />• Effluent: G [ce, . <br />Receivine Water: <br />~~~ <br /> <br />