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N° 10415 <br /> ~ -- <br />'~~~ CORE LABORATORIE8 <br />~aern ra ~:t Analysis Request and Chain of Custody Record <br />"~-"-'-^• 13005. POTOMAC, <br />AURORA, C08001 SUIiE 130 <br />2 (303) 751 1780 <br />Project No. Client/P//r/oj/Iect N/a,'m/e ~ <br />' (/'7~ ~li /ri't /~~ Project Location <br />Lab Field <br />ID Sam la No. <br />P <br />No. Identilicetlon Date <br />end <br /> <br />Time <br />~ <br /> <br />t7 p Sa pia <br />E Container <br />o <br />U (Size (Mal'll <br />T pe (Li uid <br />Y q <br />Sludge, Etc.) <br />Prater- <br />votive <br />LA60RATORY <br />ANALYSIS REQUESTED REMARKS <br /> <br />~ <br />Kt`y - ~ u .I 2.3 <br />J~~ <br />x <br />1 ~ ~. <br />ar~'I~~- <br />ti~ok <br />~ 7"o-{~P a~lul ~~~~ ~N <br /> }~~ _ 1 U. ' lly ~y2 X _ 1-`-t 1~~ • t,((d~2~L __ _~lf?I2'1 S <br /> <br />,ecc; - JF 1/f2 3 Z <br />~~ <br />x <br />~ ~f Fi. <br />1~.~~ <br />lid'. <br />~ <br />_t~ ~F~d ,C~rJ~~.~ <br /> ' ~- ~ u y ~9Z <br />1' ~ 5tN mu1~ (~~~ kN~~ "7~u1 tiffs <br /> l , <br /> <br />{ZCg-/u <br />a/z3~Z <br />3~ <br />x <br />- <br />hzo ~ <br />4c~bc~•rl s~ <br />,,tTd~l~ <br />ff <br /> <br />1 _ <br />rc'c <br /> <br />~. <br />~ . ,_ 2c~ UlL3fJ2 <br />/CJs <br />X <br />~ ~ f Fl. <br />t/~ei~ <br />NaC'N <br />. <br />7c f~Z(~ ~.~ ~l~ ~'~ <br />- -7 ~ ; n ~~z x h7rn ~ FI _ <br />_ <br />t+~ ~~ KNl1 L~, ~lv~~~ ti~~ <br />1 <br /> ; . <br />3 ~ - 3c, jj~Z p2' ~ 2L Pl r W~,~es'~ 1~'~oH ~~ ;u1~ l~~-D CN <br /> ` <br /> <br />~G ~-4~ '(Z3 ._ X i L t. ct~ defer N 7~~Zp ~~ tti~ C'-/1, i <br />Samplers: (SrpnefureJ Relinquished <br />(Siynerurel <br />{, <br />~~' ~ Dale: <br /> <br />Time: //~~ Received hy: Date://L t/ COC Seel No. <br />(/ lSiynatur V~ <br />~L) •• " Tima: ~O <br />( <br /> - <br />Relinquished b~4 ~ete- /.. <br />~/~rrl L Received bY: Date: <br />Allilietion ~~~~ <br />lSipnelureJ 4 ~ <br />_ Time: /Signerural <br />~?}~ Time: <br /> ' - n Relinquished by: <br />Y t ~ ISipnerurel <br />~~ Date: Received by Laboratory: <br />(SiynaturelJ-~0~~ 1~L $m Date: /J.2$~ L Intact: <br />n <br /> 11--uu _____ _ Time ____ Tims:7 <br />REMARKS: Data Results To: (Neme/Address) ~~ ~ <br />t_~~1~eS~ ~C~ ~~9-5sr Laboratory No. <br /> cG /-leg/¢r- PSer 2~2 <br />92 <br /> - - ----- ----- --- - ----- ='-(~ D~~ ~ ~~ r C~~ -- -- <br />YYLi1o Ilunnn Wnh Ilesnlls (11 ! unlysit YJluw 1 ub (: qry 1'u14 ~ Samples f:upy <br />