Laserfiche WebLink
N° ~ 10423 <br />',~ r <br />,' CORE LABORATORIES <br />~>:~erJo :i Analysis Request and Chai <br />., <br />n of Custody Record <br />"-'~-"^ 1300 S. POTOMAC, SUITE 130 <br /> AURORA, CO 130012 1303) 751 -1780 <br />Project No. Client/Project Name Projec[ Location <br />Sally 3A~r-rt-E MrrJ C~oc,r~ cp <br />~t~ ~u+S <br /> r <br />Lab Field Dace o Sample Sample <br />ID Sample No. end n E Container Type lLiquid Preser- <br />at <br />NALY <br />S REO <br />SI LABORATORY <br />REMARKS <br />No. Identitlcetion Time c7 U (Size! Mat'1) Slutlge, Etc.) we <br />v r- <br />`~~~ <br />B <br />.M ~E ?AOLC 1 USi <br /> +o/ra ~9 9 (a) <br /> RS- 1 1430 ~ Seot..I Pa? u1An`2 HrJO ib~ AI- Y JrgsoLvrrp MEiArr~ <br /> ca) <br />4 L PE. <br />Nr1o3 <br />RAD)o CMer~A <br /> 1L PE /~tOFI WA~~ <br />Cn1 ~ jUT/aG <br /> ~ <br /> {L PE MA1o2 Anlr orlS <br /> <br /> 9 L 61 ~(,,s of L ~ 62fA s ~ <br /> 5pr ,.,1 6+ µ2SoY iaG, n1N~ r n103 + /Jp, <br /> RS - a +~ 5 3 a r ~ ~ ulA~/1- SA*•.~- A-s .o go u< <br /> -. <br />ffr I <br />L <br />'12 5 - 5 i0/r,.~9.1 <br />(015 1/ 54.Nt A S <br />A/Se ~ <br />t~1A i 2`1L- <br />SqM,(_ A S A/3o ss-L <br /> <br />Samplers: /Signerurol Relinquished by: Date : f0 j/6 ~ja Received by: Date: COC Seal No. <br /> <br />2. 1 ISignaturol <br />~ (~- • <br />~ rJ / y,~ o <br />Time: lSignsrurel <br />Time: <br /> Relinquished bY: Datw Received by: Date: <br />Allilietion /Signature) Time: ISignerurol Tima: <br />F{A S.G>'ASILA ~ A]SOC., Relinquished by: Date : Received by Laboratory: Date~,~b.Qa Intact: <br /> ISignarursl <br />Time: /Signature! <br />t <br />Time: jN: 4O <br />REMARKS: Dace Results To: (Name/Atldress) Laboratory No. <br />FAX 2f Suu^S T-O I/ACLPraS.tA ti Assoc- 7q`{-3Ak5 1' A[•'9i•IA Scoii ^ 3~+G <br /> . l(/ <br />~ l J~ <br /> 2. /~V 73i P/~EfL ~ ff/JGt`~.1SK/~ - <br />White -Return With Rasuttf OI Analysis Yellow - Leb Copy Pink -Samples Copy <br />