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N° 10094 <br />'~~' ~ <br />CORE LABORATORIES <br />I ter` : o si _ <br />Analysis Request and Chain of Custody Record <br />"~"°~"^ 1300 S. POTOMAC, SUITE 730 <br />AURORA, C080012 (303)751-1760 <br />Prolect No. <br />j28Y Client/Project Nama Project Location <br />_ ~j9~T+-t MT~v ~jc~~~ Sa.; L~;s <br />Lab <br />ID Field <br />Sample No. Dete <br />and <br />m n <br />E Semple <br />Container Sample <br />Type (Liquid <br />Preser• <br /> <br />ANALYSIS REQUESTED <br />LABORATORY <br />No. Itlentificnlon Tima t7 V (Sire/Mat'l) Sludge, Etc.) <br />vative <br />REMARKS <br /> 9Lio2~d..+b I°/L~/9L <br />x <br />5cwi.,p `.1 <br />W M <br />iOj <br />l~ <br /> 03 / Z L 4rec rS$. McTg1-S <br /> µ ~ ~ "L I Q <br />PL <br />1, <br />M~j ~` <br />t`r}Ql~ Cl.~ <br /> ,~ ., p 2Sv rnl <br />~^'rne ~. <br />~~; <br />r <br /> Pe ~ ., <br />n <br /> ti ~ • ,p I ~ <br />g .. Ht,$o <br />v <br />~~ t r ~~<w~ <br /> 4 .. <br />'e 600 -lytl rl <br />yzsQy <br />~ C_ , 1J !~ . -r ili O <br /> .. ~ 0 1QF~ tt vote M.4~<~~.- ~,.~;o,,z <br /> P~. ~1gGH ~..~J ~ : 4L + W Add <br /> <br /> <br /> <br />Samplers: (Sipnerurel Relinquished Y: Date: 1 e~J 2•z,(cl Z Received by: Oate: COC Seal No. <br /> <br />O !Sipnerurel .M1 ~ <br />Time: <br />1 ~ ~~ !Sipnerurel <br />Time: <br /> Relinquishetl bY:~ Date: Received by: Date: <br />Affiliation /Sipnerurel <br />Time: ISignerurol <br />Time: <br />N f t:G Relinquished hy: Date: Racaivetl by Laboratory: Date: Q ' tact: <br /> (Sipnerurel <br />Time: !Sipnerurel <br />h C:j"lI`U`1'Yl <br />Time: ~ !;,ice <br />REMARKS: Data Results To: (Name/Atltlressl Laboratory No. <br />-~q7< .~C'.Sul-?S Tv ~Ig1.r`P%+SKA ~~SS~.~ ,. q.. ~>Tr L~~AG <br />77y - 3zy~.- 2. +;.~Trc>~z•: -+Irtt__2e~;~_i, `3~~`-~~ <br />White -Return With Results Of Analysis Yellow -Lab Copy Pink -Samples Copy <br />