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- - G.E. T. r,~~. <br />• <br /> <br />Rarer g Em~irnnmemal Testln¢ Inc. 399 We.c, 1: DO Forth, B Urem, C rah 84057 (R011:35-9141 Far (80/)23.1-9160 <br />Chain of Custody Record <br />Customer: ~/~/ef pin Fw~~ -~o(o~ao(p Sampler ,/o~n t`f~ ~i in <br />Sample Date: ~6 ..Se ~ 9V Project: Nc w Nevi o~ , K e <br />~~ <br />Sample Information <br />Sample # Date Time Composite/ <br />Grab Location Analysis <br />Requested <br />1 ~7 <br />/sse t9!! ] <br />i^;l5 GYI.~I~ NPOcS poi ,~~~.~ ~Er <br />2 /6 X98 /Z ~'/ y ~ra /j 1Vro D ES 00 ~ 1, <br />3 ~6k J`~f~ /2~i5 ~rr.. ~ N~ DES 00 ~ ,/ <br />~ i6sP 9 /Z,'~ 7 ~'ra ~ No Or S oo ~ ~ / <br /> <br /> <br /> <br />Sample Custody Record <br />Relinquished by: Tolvn H, K-^~ Received by: UQ r DatelCime 16~fe~~~~ <br /> <br />Relinquished by: eived by: Date/Time <br />~(~ R-i~-Sg 9 •~v A <br />Relinquished by: Receive by' " ~ Date/i~``•~~''e <br /> <br />Sample Received in <br />Lab by Dat /Time <br /> 1 <br />Comments <br />• Temperature Received in the Lab: <br />Effluent: ~~< « •~1 <br />Receiving Water: . <br />