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N°_ 02266 <br /> <br />COfRE i.A90RATORIES <br />~r,s, Analysis Request and Chain of Custody Record <br />"°'~""' t300 SO. POTOMAC STR~ET,SUITE 1:,0 <br />AURORA, COLORADO 60012 (3031 7.i 1-7 7B0 <br />Proiett nc. ClienUProject Name Project Location <br />S~8L1 ~T~Lc MTn] . GOt~ CO <br />$/•}iJ L.rf1S <br /> r <br />lab <br />ID FiMd <br />Sample NO.i Oaea <br />and <br />4 o <br />E sernpro <br />Gontalner Sempro <br />Type lLiquitl <br />Preaer- <br />ANALYSIS REDUESTEO <br />LABORATORY <br />No. Ilan llflcatlon Time _ <br />~ U (Size7Ma1'l) Sludge, Etc.l ~a11Ye 7F ~~ T^•a-C 7 ~°2 ~-0MP41Z~ L.IS J REMARKS <br /> 75 <br />9 <br />4~ <br /> /l'r-9 ~ <br />5 ~`~`~ PE f.Jr47Z'!L 61+,~ 177S~oLVcJa MEALS F <br /> ' <br /> {'E <br />4 t. N~ RJ4SJ ~ O C++P~ F <br /> 500 N+1 G~ ZJAC Su [.F~ Of~ N• <br /> t <br />s P <br />i - •a oti /q,.I.oaS <br />M w <br /> ff <br />L <br />e <br />~I ~.. PE ,~/ <br />ltG~ /~ <br />`~ J~r~L.. W~ 1..L. <br /> n161 <br />~ Id /t/l,/3 /~dSd,Jo~, <br />iaG ,~ <br /> A r <br /> 4 ~ c i i~zs o r~ ~ G2f~sE LL <br /> <br /> <br /> <br />Samplers: {SignelureJ Relinquishetl by. Dale: /7~Qa R eived by'. <br />~ Oate: /y COC Seal NO. <br />~,. p fSrgnarure,J 2 ~ <br />i0 Tlme : lOr~u fSi arure ~ <br />ici 71me;r~~C+ <br /> Rallnq uishetl by: Dale: 7 ~/ 7 R ved by. Date: <br />Aifllialion lSig$ u. _ Tlme : ///4S fSignefure) Tlme: __ <br />id5(G/{ SSaL. Reti wished by: <br />' Dale : Recalyed by l.a oratory: <br />i Oate:9~rZ-9 Intact: <br /> nature) <br />(S <br />Time <br />: gnaturol <br />(S <br />'Q <br />71me: / •itl <br />REMARKS: Date Results To: I ameiA tlreaal Lafwralory No. <br />F~ fLEsuvS ~ IfA~EPa~r3 ti Ass as soon ~• /}t,WA ~Cr-OTT-- SMG <br />. <br />oL <br />/k3 /~ VArL/13L.t.- <br />2 <br />sz T <br />~ ~ r4 <br />Rkc JOr ~ ~ .~J <br /> . <br />- <br />. <br />Wbite ~ Reluln Wilh Resul[a Ot Anatyals Yellow -Lab Copy Pink -Samples Copy <br />