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No ', I. <br />~.U~,~ <br />~' CORE LABORATORIES <br />~ c~ ;~'~~ <br />"~"-"'~ 1300 S. POTOMAC, SUITE 130 <br />AURORA, C080012 13031751.1780 <br />Analysis Request and Chain of Custody Record <br />Project No. <br />SaB~+ Client/Project Name <br />ice,++l~ <br />Mfr.). <br />GOC.r, Project Location <br />S9~J ~urS <br />Leb <br />ID <br /> <br />fUo. Field <br />Semple No. <br /> <br />Iderstilitetion Dete <br />end <br /> <br />Time <br />e <br /> <br />t9 o. <br />E <br /> <br />ti Sample <br />Container <br /> <br />(9rze/Mat'I) Sample <br />Type (Li uid <br />q <br />Sludge, Etc.) <br />Preser- <br /> <br />vattve <br /> <br />ANALYSIS REQUESTED <br />~f ScE T/5r3LE 1 FOIL CaMPLETE LrSi <br />LABORATORY <br />REMARKS <br /> <br />~ <br />M-9 <o/r5~4a <br />l/VO <br />Soo.~l PE <br />warEa- <br />qao <br />~tSSoLOe.p MEt'At_S <br /> (a~ <br />1L PE <br />NNog <br />rZAO~o Cy1@M <br /> 1L Pc 1`J<t0 ti Crl ibT~lL Who <br /> 1L PE -' ArtaJo2 /}.Jroas <br /> gso,,,t t~ 2aA Sut^F'.'~~ <br /> 1 L Gl H+So O I L^ 1c G2~ASE' <br /> SL~o,..1 6l I+2Soy i oC r l~lN z I i~o3 ~ 110a <br /> <br /> M-13 % ao4P `' a3oJC..s t,~A r[2 Sr4rete. .AS /1/3ot/G <br /> <br />Samplers: ISignerurel Ralinquishetl by; Data : /O//C ~a Raceivetl by: Date: COC Seal No. <br /> <br />f O (Signetural <br />~ ' I u <br />Time: /440' ISignerurel <br />Time: <br /> Relinquished by: Date : Received by: Date: <br />Atfilietion ISignerurel <br />Time: ISignerurel <br />Time: <br />/t <br />/~y4(~Pr4SILq t /f.1SOL Relinquished by: Date : Received 6y Laboratory: <br />i Date: ().~Ip.C}dlntact: <br /> ISignerurel <br />Time: IS <br />gnerurel ` - y <br />~-~Gl ~ ~r ~-7 <br />Time: Cf ', l~ <br />REMARKS: <br />FA 1t RESuuS To <br />NrTLE/~/+3CA t <br />r4sSoC. <br />7clN-3x <br />45 Date Results To: (Name/Address) <br />1 /}LAr~A SCDii' ~1C~ Laboratory No. <br /> 2. iZ4r_fi ioPPf2 - NA2EPASrr1 ~l~I~~ <br /> <br />White -Return With Results Of Analys+s Yellow -Lab Copy Pink - Samples Copy <br />