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'�U>t o N�a1RLrpMiotnM M& M 0V%USTOd1Rem rt� 'CI '�" 'I PW►"F � <br /> J P.O. Box 1029 Y <br /> Grand Junction, CO 81502 <br /> ANALYTICAL PARAMETERS <br /> PROJECT NAME D2'_evL40 tZ@c:Iu>» y,+,IIV t)<'� O � <br /> LABORATORY A C' Z aj 1� <br /> SAMPLERS _ 1`7 CLuI7Cr 4 17 On)Le- y 4) <br /> AFFILIATION '�Q I I(D Y U vrt r'tc v �u�L,r4. <br /> IF <br /> SITE CODE LOCATION CODE TYPE DATE TIME 4V fit. SUB- <br /> TOTAL <br /> PN► DeRDiet,eI 'TA,nr- 1 Sa B/Z-417 1030 X X 0. 0 1 <br /> fA'Dc'R O';eyelTank Z So $Iz71g9 1051 X X 3,0 1 <br /> PHDE-R D; e7e) .,oV-,3 5C) f71211-17 1437 X ;g, O.n I <br /> Fm'Pe'R V,esel -(wr. 4- 50 002117 1437 X X 2.6 -- <br /> PODt R D eSeI Ta.,k 5- SU 01271,17 i447 X X 0.5 I <br /> FRDE R 7,e5e1 -raNK- (o So 6)z7h7 14A-9 X X <br /> PMDGR v;asel -- awk_ 7 so 0 z7 7 14 X X 1 .0 I <br /> PMDLR V, ey, anL $ So 8)2-7lop 1500 X X O,5 1 <br /> PMDI;R 0,eteI-To m i= 9 50 612-71.17 15od- X 0.5 I <br /> Diek D'.esrlTahK 10 so 61Z7 IJ7 1510 <br /> PMbcR D,esclT.,nk LI SU 0 1 2-'t'J+17 1--5I2- <br /> PMDtz eselTan 11- l So 6I2-71-57 1s1 X O.5 <br /> RELINQUISHED BY: (signature) DATE RELINQUISHED BY: (signature) DATE REMARKS 5;,b Total No. of Containers I .Z <br /> y? S17-6 <br /> (printed) TIME (printed) TIME <br /> �- C c.o rT II ? '30 <br /> TRANSFER NO. 1 TRANSFER NO. 2 <br /> RECEIVED BY: (signature) DATE RECEIVED BY: (s,anatwe) DATE FARWARn TA_ -r..._ _A <br /> - , ✓.. uqr � � <br /> FOR LAB USE ONLY <br /> (printed) TIME (printed) TIME RE AT LAB BN(signature) PATE <br /> 9 SEALS INTACT? <br /> `7 nN NA <br /> COMPANY SEALS COMPANY SEALS P TIME RECEIVED IN GOOD <br /> INTACT? INTACT? �p CONDITION <br /> Y N NA Y IN NA �11 fir- �' S NO <br /> Delivery Method: ❑ In Person Common Carrier F a d EX ❑ Lab Courier ❑ Other <br /> SPECFY SPECIFY <br /> DISTRIBUTION: WHITE--Lab Copy for Return YELLOW--Lab Copy PINK--Grand Junction Copy GOLDENROD--Field Copy <br />