Laserfiche WebLink
N°_ 02323. <br />' t <br />~~,' CORE LABORATORIES °' <br />om to si Analysis Request and Chain of Custody Record <br />,n _ <br />"""""""' 1300 SO. POT OMAC 57REET, SUITE 130 <br />AURORA, COLORADO 80012 (303) 751-1780 <br />Project no. ClientlProject Name Project Location <br />Sa8 t-1 ~A iTLE w} iT1 C~oL1~ SA^I LU I S <br />Lab Field Date n Sample Sample <br />ID Sample NO./ and ~ o Container Type (Liquid Presen ANALYSIS REQUESTED LABORATORY <br />No. Idenllflcatlon Tlme U U (SlzelMat'l) Sludge, Elc.) <br />-- valive ~ SfC IA3LE 4 FwL. COMPrcrE L!S i REMARKS <br />- <br /> ro r5 ~. <br /> A4-+a ,~fo r soo..,t Pa (,tlAiE2 (~n~o ~TSSor_~~o n~E~ac.S <br /> cap <br /> / ~ P~ Nao Rho+o CkENI <br /> 1 L Pc ~4oN C'+~ ~ ioTAC. <br />+''/~~ <br /> ~ <br /> q L PE - ~t~tAJo2 /~n~%o~ S <br /> asoMt PE 2aA~ Su~:o~ <br /> 1 t- Gt Hzg O; L. ~c Glt1~iFSe.. <br /> Seo.~ t G ~ {{L5o n/~3 r ~o~ ~ No ~ <br />~ bG <br /> ~ <br /> aL.2P~ '%v/9a ~ ~~ ~s <br />E <br />/ <br />WAS"f/f- <br />SA+HZ AS /i-/3o~C <br /> 46 i} <br />jo~ <br /> <br />I <br />~~ b//4~qa <br />~ <br />P~ <br />1L <br />wArfa- <br />rI+DH <br />whD, <br />C+J C%D~q~- <br /> t5,o . , <br />Sampl¢rs: (S/gnature) Relinquished by: ~7 --- <br />2 ~ to n/f Dale: y p /(, /~ <br />~ ~ Receivetl by: Dale: COC Seal NO. <br /> <br />~, ~o ~/L <br />(Srgnamrel <br />/ lI,„, <br />Time: <br />/L/t{p (Sfgnalurel <br />Tlme: <br /> RWMquietietl by: Date: Received by: Date: <br /> (Signature) ~ (Signature) <br />AIIIIialion Time: Time: <br />/-JgcEPASCA '~ /}SbOG, RellnqulshenDy: Date: RaceivedbyLaDoralory; Date(Q.((~ Intact. <br /> (Signature) <br />Time: (Signature) ~," <br />tiru~'y1 L'f7 r <br />Time:/ <br />Q <br />REMARKS: ~4S Data Results To: (Name/Atltlress) Labors lory No. <br />F'AK 2ESal4 S 7D !¢OL~/~v4.~IL/a t /aSSoC. ?9Y"C~ 1. /~[/in1A SGoiy - i3MG <br /> ' n <br />~~ `~~~// <br /> z. 12AL~' ;aPPE2 - l,/ACEV~SrA <br />w <br />White-Return With Results Ot Analysis Yellow-Lab Copy Plnk-Samples Copy <br />