Laserfiche WebLink
1~: <br />'~' <br /> CORE LABORATORIES <br />~"t«,;.r,~:, Analysis Request and Chai n of Custody Record <br />"'~'°'-"'^ 1300 S. POTOMAC, SUITE 130 <br /> AURORA, CO 80012 (303) 751.1780 <br />Project No. Client/Project Name Project Location <br />S~ ~LI P~ATTL.E Mir). C`C~Lj_~ SnrJ U,tl <br />Lab <br />ID Field <br />Sam le No. <br />P Date <br />and <br />°~ o, <br />E Sample <br />Container Sample <br />T <br />ype (Liquid <br />Preser- <br />" <br /> <br />~A'LY~~ <br />LABORATORY <br /> <br />No. <br />e~cation <br />Time <br />t? <br />U <br />(Size/MaYl) <br />Sludge, Etc.) vat <br />ive ' REMARRS <br /> 9a1ao5 /;,/~, ya <br /> ~3n,Goa )Soo ~ 5~£;,~1 iE 1,;nY2 Nn,c. Fe <br />Cn, n1a cU <br />Zr.j <br /> , <br />, <br /> <br /> 9~Idow lala,l~a sr+~,~ ns <br /> <br />3n'tG o3 <br />ISao <br />h~q~ti wA~ <br />S/tn~E. AS An.,o~^t <br /> q 1a~9 ra)oa lye ~ y1,rti rry <br />r <br /> 13•~1G o4 1530 /~..}c.. rL <br />L~.'.HrL ya,.ti .+:~ .9.'~i:•~~. <br /> 93139 ta~c~~tia _vtn,Z Ai <br /> a.ssG o5 I(o00 Ar'y,~,tc_ s,J A+-152. S~t-^t~ r~ iA~3JU-c. <br /> <br /> 9ajao9 iz/o•,/wa <br /> 3mG oe 17a0 '~ Soo,.,/ F'E fti'/rtTfL I-fn10 ~Ag1.E 1 MLiNt/s <br /> t L. Ft` - 11~3LF_. 1 q,J r c.~1 ~ <br /> 'I 1_ PE Nae/f C~J (z7~t_ LJ/f1~~ <br /> <br />Samplers: ISigneruro/ Relinquished by: Dale : /a///~9a Received by: Dete~ ~~~ COC Seal No. <br /> <br />2. ~ lSigneturol 2 <br />Time: /830 ISignaturel <br />Time: <br /> Relinquished by: Date : Received by: Date: <br />Affiliation !Signature) <br />Time: lSigneture/ <br />Time: <br />~t~~ <br />N,4LfPnJSCr~ 4- lth10G. Relinquished by: Date : Received by Laboratory: Date: Intact: <br /> !Signature) (Signature! <br /> Time: Time: <br />REMARKS: n O # CO ~ ~ ~ ~ Data Results TO: !Name/Address) Laboratory NO. <br /> <br />~X (7„~uLi `~ iro H,4 ~c PFESwt ti /asS~ . <br /> 2. 2. ;ePl'(i2- /-JriLi`P/tj,4d <br /> <br />F <br />F <br />F <br />White -Return With Results OI Analysis Yellow -Lab Copy Pink -Samples Copy <br />