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~1 <br />' '~ Colorado Anal ticai <br />Laboratories, Ine.~ <br />CHAIN OF CUSTODY RECORD <br /> ~ <br />~ ~r 4° s Colo aado Analytical USE ONLY <br /> ~~R~S: ~~-~ ~`G ~~ 15~~ <br />~ <br />- PROJECT ID/DESCRIPTION: 24OSouth Maio Street ~~ 023648 <br /> ,~ <br />,~`~,~ c~ <br />~ <br />CIT~/ST2tP. Brighton, Colorado 80601 <br /> <br /> <br />TELEPHONE~~~ ~~~ ~ ~~~ <br /> <br />SAMPL Y: <br />303-659-2313 <br />FAX: 303-659-2315 _ <br /> <br />LAB # ~ O ~~ <br /> ~ <br />FAX: J ~ <br />~~.j - . ~ P.O. NO.: `"'~- TEST S REQU TED <br />Sample Matrix (Circle One): <br /> <br /> <br />DRINKING WASTE GROUND SURFACE SOIL SLUDG <br /> <br />WATER WATER WATE WATER <br />OTHER (Specify): cr> <br /> <br /> <br /> <br />z <br />~ <br />~ ~ <br /> <br />~ <br /> <br />° <br />o ~ <br />m ~ a0. J <br /> <br />z <br /> <br />~ <br />~ a <br />~ ~ Y <br /> <br /> <br /> <br />~ <br />1 <br />i <br /> <br />` <br /> <br />° <br /> <br /> <br /> <br />~ <br /> <br /> <br />\ <br /> <br /> <br />i~ <br /> <br /> <br /> <br />~ <br /> <br /> <br />V <br />LGN <br /> <br /> <br />LOC <br /> <br />OC <br />DATE TIME CLIENT SAMPLE ID: ~ ~ ~{ ~ ~ ~ o ~'! DISP <br />t~ , ~ <br /> DUE <br /> ® ~- ?C ~ ~x `\ ~ REPORT RESULTS <br />U ~' ~ /! Q~ ~~ '- Y ~ _ (DORINKDING WATER ONLY) Y as N <br />~ ~~©~ ° ~ `~ x -PUBLIC WATER SUPPLY INFOR <br /> WSID <br /> : <br />P <br /> SYS NAME:. <br /> ADDRESS: ': <br /> CITY7STATE: <br /> ZIP:.. <br /> <br /> COUNTY:' <br /> <br />COMMENTS: DELIVERED BY: <br />RELI HED DATE/TIME E IVE BY DATE/TIME RELINQUISHED BY DATE/TIME RECEIVED BY DATE/TIME <br />240 S. St. Brighton, CO 80601 (30 659-2313 ~ ailing Address: P.O. Drawer 507 Brighton, CO 806 <br />