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.- <br />,... <br />N° '_ 10256 <br />','' k <br />{ <br />CORE LABORAT ORIES <br />~,` a' o ai Analysis Request and Chain of Custody Record , <br />"""°-'^ 1300 S. POTO MAC, SUITE 130 <br />AURORA, CO 80012 (303)751-[780 <br />Project No. Client/Project Name Project Location <br />Sally 3Q++1~ ~~. 60t~ .sytl~ ~N>s <br />c.~ <br /> , <br />Lab <br />ID Field <br />Semple No. Date <br />and <br />m o. <br />E Sample <br />Container Sample <br />Typa (Liquid <br />Preser- <br /> <br />ANALYSIS REQUESTED <br />LABORATORY <br /> <br />No, <br />Identititetion <br />Time <br />s7 <br />U <br />ISixe)Mat'l) <br />Sludge, Etc.) vative <br />s/~.SEE iA(,jL~, ~ FblL COµR.GTL USA REMARKS <br /> ~O/'y/9~ <br />I M- 1 /!oo `.jOO'"1 ~E WAFf2 Htib3 I~rSSoLt+cl~ ,~1Er^ALS <br /> (a1 <br /> 4 L. Pc ur°o 2,oDlo cl+c.M <br /> il_ PE~ (.J40EI C,/J ~ jOTgt_ <br />WADJ <br /> i <br /> 1 L PP - MA~ on, ,4,.Jrb,a S <br /> 25oMt PE Z,•IFlc ,Sut.F~~~ , <br /> 1 L 61 Wz~ O1L 4, 6lLIASG <br /> Seoul 6t NxSa n1D~ r„ 10~ <br />~ oc <br />N M3 <br /> y r <br />, <br /> <br /> 1 <br />r <br />a <br />/ <br /> /VI -1) !! <br />o <br />3 / ~o~ SA~tc. A 5 A 3o v~ <br /> <br />Samplers: (Sipnerurel Relinquished by: Date: f J/!b 9 ~ Received by: Date: COC Seal No. <br /> <br />to lSigneturel ~-- <br />r `~' ' <br />Time: <br />/YYO lSigneturel <br />Tima: <br /> Rellnquished hy: Date: Rat:aiwd by: Date: <br />Affiliation lSigneturel <br />Time: lSigneturel, <br />Time: <br />~hlPl¢.CAStLA ~ /~SSOG. Relinquished by: Date: Received by Laboratory: Date: 1(p. Intact: <br /> lSigneturel <br />Time: (Signeturel <br />ti+CU,J C{7! <br />Time: Jy '. <br />REMARKS: Data Results To: (Name/Address) Laboratory No. <br />Fn X (t.ESt.t La-s ~ .CIA t.2_vcsrt.4 '. /Jyyoc <br />'79y - 3 a v s , ALA~IA sco r- - a.t'rG <br /> . <br /> 2. 2at~- ;avvc2 - /lf1Lf~ASKA ~'~~`~'~C <br />4 <br />4 <br />,.- <br />(~- <br />~~ <br />White -Return With Results Of Analysis Yellow -Leh Copy Pink • Samples Copy <br />