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N°_ )2323 <br />'~',' <br />CORE LABORATORIES <br />a ;; Analysis Request and Chain of Custod y Record <br />,,, _ <br />'"""""""' 1300 SO. POT OMAC STREET, SUITE 130 <br />AURORA, COLORADO 00012 (303) 751-1780 <br />Project no. ClientlProject Name Project Location <br />S 018'-1 ~A i'~LE K'1 r>~ Cno L/~ SArJ LU + S <br />Lab Field Date n Sample Sample <br />ID Sample No.l and ~ E Container Type (Liquid Presen ANALYSIS REQUESTED LABORATORY <br />No. Identlflcallon Time ~ ~ (Size/Mat'll SludOe, Elc.l <br />--_- vallve ~bEc IAPJt~ 1 Fol. COMPu-rE Lt~T REMARKS <br /> ro r3 9 <br /> /1~-Ta 16fo / Soo,,.t P@ WAiE2 j-jnlo t7r55ot_ue~ ME%74LS <br /> tai <br /> / 1_ P~ NrJo RhD+o CHENI <br /> 'I L Pc (J20N tilA-D, <br />CN ~ibiAL <br /> ~ <br /> <br /> asorl PE 2aAc. SuL-F~o~ <br /> 1 ~ Gt H>!5 0; L ~- G2~sc. <br /> eo .~ l G t <br />r I ~ <br />$0 ~lo~ ~ Af o 1 <br />/t/N3 <br />is G <br /> .. L r <br />~ <br /> <br />lye <br />at_2('~ ro~r4/9a <br />66 <br />/ y1.4c ~s <br />Ago~E <br />wn1'-f2 <br />SA><td AS /ta3ovC <br /> <br /> <br />F~ b/ W ~]? <br />'~ <br />~ L. P~ <br />wnrt2 <br />rJ.,oH <br />CTJ ~ i~iAL r wqD, <br /> r~oo <br />Samplers:ISlgneture) Relinquisnetl by: <br />lon/1 <br />2 Dale: 7p/r(~/./a Receivetl by: Date: COC Seal No. <br /> <br />,~, 1p ~/L <br />(Srgnelure) <br />~ <br />/ lI,„, <br />Trme: <br />/c/LJp (Signature) <br />Time: <br /> RWingeia7reA bY: Date: Received by: Dale: <br /> !Signature) (Signature) <br />Athllation Time: Time: <br />/~/gLEPgsCA 4 r}SSoG, Rellnqulshetlby: Date: Received by Laboratory; OateJO•lb Intact. <br /> (Signature) <br />Time: (Signature) <br />~ ~r ~6'- <br />~ <br />Tlme:/ <br />Q <br />REMARKS: ~, 45 Data Results To: (Name/Address) _ Laboratory No. <br />FAX 2E5uu's ro sy9t~A,aJry ~ Assoc. ?c1Y"F~r ,. Ac.ar~A SCo~y - 13MG <br /> ~ ~1901p <br /> z. Izh~ <br />;annE2 - w~cBV.~srA <br />W <br />White ~ Return With Results Of Analysis Yellow ~ Lab Copy Pink • Samples Copy <br />