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N~ 02265 <br /> <br /> <br />CORE LABORATOg1ES <br />Intel Analysis Request and Chain of Custody Record <br />"°""~' 1900 SO. POTOMAC STREET SUVTE 730 <br />AURORA, COLORADO 80012 (303) 151-1780 . <br />Project na. CI1enUProject Mame Project 1ACatlon <br />5a0~ 3Rr--t.E ~vJTnJ ~ocA 5.4.•! L.rt?S <br />~ <br /> r <br />Lab Field Date n Sample Sample <br />10 Sample NO1 and m E Canlainor Ty pe fLlquid Preser~ ANALYSIS REOUESTEO LA80 RATORY <br />No. Itlanlitlcalion Tlme ~ U (SiulMat'1) Sludge, £IC.) vatlve ~$~ ~f~E ~ ~' (L CoMYTI.~ (Jg ~ ' REMARKS <br /> M-r 3 9~~5,/99 <br />e335 <br />`~OOr,1 P~ <br />(,t/qf~ <br />~ H~~g <br />17~SSo~~c.o ~I4"~FLS <br />~ <br /> a) tL PE ~ 1fi•Jos /2~Dro c1~~ l <br /> <br /> 4~ PE T(aoH Cn! ('ra~,a~, ,..s~o~ <br /> awl ~~. ZI/k SI.LI.~jc~G <br /> ~rKj Gr ~ILSO, ~~ <br />~1a3 r-.~oa <br />iVI-13 u. <br /> f r <br />7 <br /> ~ 1. Gl r~zsar 6+~.. 4- G`4i..~ ei <br /> <br /> <br /> <br />Samplers: (Srgna tore/ Re!mgr.~snad bny: <br />' Gale: y.lrIfa Revel ~ by: Daley/, COC Seal NO. <br /> <br />2. D (Signatarel fL r <br />lime: <br />Fp,3 (Signal e <br />Time/o7u <br /> Re quished : Ddle: ~~/j'7 Rec tl tly: gate: <br /> <br />Altilialion " <br />(Sig <br />.t ~? ,.,r_~~. <br />Time: <br />//G7 (Signatural <br />Tlma: <br />~A /iSICiE t oC Relin shed ny Dafe: y Laboratory <br />gn Dated 17/sf In lac[: <br /> (Srg lure) <br />rime: fSi <br />afurel <br />Tlrne: / : Jp <br />REMARKS: Oala Results To:( amerA ress} Laboratory NO. <br />FAx 2ESuf_TS T O I~IALfPASU,4 4 r'~ssac. as sao..-I , R~a~ ~~ r - /~G <br /> <br />/4 VAIt.A3LG p <br />1~11~ <br /> z. IZAtF j oP~r„ _ !~ 4- ~4 I _~ <br />White ~ Re[urn With Results Of Analysis Yefbw ~ Lab Copy Pink ~ Samples Copy <br />