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N" 0262 <br />'~~~~ C <br />OFlE LABOF3ATORIES <br />t a :i Analysis Request and Chain of Custody Record <br />"""'"""°' 1300 SO POTOMAC STREET, SVITE 130 <br />AURORA, COLORADO 80012 (303) 751-1 780 <br />Project no. ClientlProject Name <br />ld <br />G <br />3 <br />~ <br />M <br />~ Project Location Sam LutS <br /> oun <br />o <br />nt4 <br />ouv~ <br />1 <br />e <br />Lab Pleld Date e, Sample Sample <br />_IQ Sample NoJ end n E QB~Tner type (Liquid Preser~ ANALYSIS REQUESTED LA80RATORv <br />No. IQentlllcation Tlme c7 v (size/Mat'I) Sludge, Etc.) vative REMARKS <br /> 93~-OT 111193 <br /> 8M6 of --~ x <br /> 93ot o-r <br />BMG <br />2 - I~lg3 I aa <br />I.DQI wa~cr A1noN G W ~TotAl +WI~~ <br /> 0 ut . <br />. <br /> 930-01 <br />BMI, 03 11'llg3 <br />N45 <br />'~ ~,~ <br />1rA. <br />,.,4'~cr <br />NtJD3 <br />Ga, X10, Cu, ~•~, Fe ~5w.p1~ was~t'~.ld.('~(~eet( <br /> 93oto~ tl~lg3 <br /> <br />M6 <br />t33o X <br /> <br /> ~ <br /> -- <br /> <br /> <br />Samplers: (SignalureJ Relinquished by: Date' 1 tr19a Receivetl by: Date: COC Seal NO. <br />(Signature! ~ ~~ Tiine: <br />~+~0.G/ ooo~~~~~~IIITTT (jpp !Signature) Time: __ <br />Relinquisned by'. <br />Date' Received by: Dale. <br />ISrgnalurel <br />Atliliatlon <br />Time. (SrgnatureJ <br />Time: <br />_ _ _ <br />M Relinquished by: Date Receivetl by Lahoralor y, Date:1-j~j-9 tnlacl: <br />(9gnamre) <br />Time: (Signature) <br />Time l2.'.O <br />REMARKS: Pc~ ~ ~/ 2~3 Data Results To: (NamelAtltlress) Laboratory No <br />V ,. A ~co'tl' M~'~ Lws <br />L]1 <br />T1en.SG SAX Cyw.tdc r~skl~s as sooty as a„¢lys-s <br />' ~7jp~-3 <br />h4s b~eert lid ~ f''~n~'w ~mtl 8M(,-~L 4~ De,.~tr <br />2. Q~dn c t~4°l(~- <br />pM~s FaX 1-4-lo-IZ-33~~ White-Return With Results Ot Analysis Yellow-Lab Copy Pink~Samples Copy <br />