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COLORADO DEPARTMENT OF HEALTH <br />CHEMISTRY SECTION <br />AGENCY: <br />M. WILD LA~1'7 Rc~-~, CONTACT PERSON: nn <br />H2rv~r `'cT$e~/ <br />DIVISION: # OF <br />C <br />O <br />M E T H O D <br /> <br />SAMPLER: <br />F~PrfLR`! 1~oStY <br />PHONE gb~0 - 35b1] <br />#: <br />~3~ ' 1 ~ (~ N <br />T <br />A <br /> <br />~ <br /> <br /> <br />~ <br /> <br />LOG # <br />DATE <br />19°12 <br />TIME C <br />M <br />P G <br />R <br />B <br />SAMPLE SITE N <br />g <br />R <br />S ~ <br />a~ ~ <br />'tft ~ ~. <br />C/ V <br />~~ <br />~O <br />COMMENTS <br />I~M(s- ~ 4-2 11 ~ 30 / h-'1 Mc~~~fvr Wel Z- ~~ ~ ~ ~ ~~ <br /> <br /> <br /> <br /> <br /> <br /> <br /> ~.~.A !e C~ OZec) f O n ~ ~a-7 Z C~ <br /> pe, v v1D \ ~v~5.ln,sho~s ~rprn -~GYf~ o3e <br />RELINQUISHED BY: DATE / TIME <br />v tz sZ ~ ~m~ EIVED BY: <br />~ DATE / <br />~/ ~~ TIME <br />~-YO SEND FINAL REPORT TO: <br />Ndr. ti Dosej~ <br />~ <br />RELI QUISHED BY: DATE / TIME RECEIVED BY: DATE / TIME ! Cdnc~ 2CC(B eha ti~«n ~1 V. <br />N`h e <br />!;l3 SlnPrvr~ah Sf <br />RELINQUISHED BY: DATE / TIME RECEIVED BY: DATE / TIME ~evr/~~ C-C~ ~OLO_~ <br />DISPOSITION: <br />C H A I N O <br />F C <br />U S T O D <br />Y <br /> <br />z io, <br />