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N° iUb6y <br /><a <br />'~'~' <br />CORE LABORATORIES <br />nt ritlw l Analysis Request and Chain of Custody Record ' <br />"'~'°~`^ 7300 S. POTOMAC, SUITE 130 <br />AURORA, C0 80072 (3031751-1780 <br />Project No. Client/Project Name Project Location <br />5884 r~P.TT'LE A~rnl Goc,o SAnt t.u t S <br />Lab <br />ID Field <br />Sample No, Dete <br />entl <br />m n <br />E Semple <br />Container Semple <br />Type ILiquitl <br />Preser- <br /> <br />ANALYSIS REQUESTED <br />LA80R ATORY <br /> <br />No. <br />Identifitenon <br />Time <br />t7 <br />U <br />ISi:el Mat'1) <br />Slutlge, Erc.1 votive <br />'~' ~.E i'Abt~. ~ ForL coMPr[ENt„7S1 UG r-f'$i REMARKS <br /> ' <br /> M-13 9845 )( EMI PE µjArE2 NNo3 1~tsSowe~ //tEt79t-5 <br />~~~. <br /> /~ <br /> 1 L PE H rlo RA o lb C HEr`~1 ~ c5 7,..-•-I ~' ~t <br /> ~~ <br /> Ll rl r r <br /> 1 t. 61 N~soy orL, ti• 6/tE.aJ~ /1 <br /> Sao.nl GI 7faSo "1p3 + nlOa <br />/~G NHS ~i <br /> , <br /> iL Pc^ hb~fE MA,S'o2 A~lo.~ S {1/I~ /: <br /> ~ P~ ~IoN w~~ <br />c~ ~ ~;~~ <br /> , /ln i r <br /> <br /> <br /> <br />Samplsn: lSipnawn/ Relinquished by: Date: / ~/ 99 Received by: Date: COC Seal No. <br /> <br />(Z . 1 lSiynatursl 2 <br />Time: <br />lEjGO (Sipnatunl <br />Tima: <br /> Ralinquirhed by: Date: Received by: Daro: <br />Aflllution lSipnewn/ Time: /S[~w~ Tima: <br />/yq~/~I(/1 ~ /}yp~ Relinquirhsd by: Data: Renivatl b n ory: ~ Daro:q r•y.`r Intact: <br /> (Sipnawnl <br />Time: (Sipnawrs tD <br />Tima: ~ 7~C..] <br />REMARKS: Date R wlu To: (Name/Adtlreu) Laboratory No. <br />FAX (LESu~r~ TD N/-[6P~+s <br />/1 .~ Ay C'I ~ 7• /}11L.JA ~,oT - 8µG <br /> v. ~L, 44-44~3 <br /> ~1 t.F' 7bPPE~- - H ti A ~ 1 lD~ <br /> z. <br />While - Rsturn With Rnultr OI Analyrir Yellow -Lab Copy Pink • Sampler Copy <br />