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~~ <br />• '~ Colorado Analytical <br />Laboratories, Ine. <br />CHAIN OF CUSTODY RECORD <br />(,~ ,~ t~ ( ~~~(~1,~`G2 .a ~ T~ <br />ADDRESS: ~ ~ ~j <br />CITY(ST/ZIP: ~-~/~~i/~'~G~C (~C~ ~(:~ PROJECT ID / DESCRI ~ 10N: <br />~ ' "~ ~y"' ~ <br />TELEPHONE: <br />3v5-~3~-yYrC~ SAMPLED BY: . <br />FAX: ~~ ~ t~ ~ G P.O. NO.: <br />Sample Matrix (Circle One ~ <br />DRINKING WASTE GROU D URFACE SOIL SLUDG <br /> <br />WATER WATER WATER WATER <br /> <br />OTHER (Specify}: ~ <br />ul <br />z <br />t`t- <br /> <br />~ <br />u_ <br />~ <br />w <br />`o ~ <br />Y r/J <br />m = ~ <br />Q~~ <br /> <br />~.Q <br />~ a <br /> <br />~ ~ z <br />°oz ; <br /> <br />DATE <br />TIME <br />CLIENT SAMPLE ID: <br />„O; <br />~ ~_O ~ J <br />~ ~ o :. <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Colorado Analytical <br />Laboratories, Inc. <br />P.O. Drawer 507 <br />240 South Main Street <br />Brighton, Colorado 80601 <br />303-659-2313 <br />FAX: 303-659-2315 <br />USE ONLY <br />NQ 023650 <br />~~<1 as <br />LAB # <br />LG N <br />LOC <br />QC <br />DISP <br />ZIP: <br />.COUNTY: <br />DELIVERED BY: <br />COMMENTS: <br />RELINQUISHED BY ATE/TIME RECE B DATE IME RELINQUISHED BY DATE/TIME RECEIVED BY DATE/ T <br />240 S. St. Brighton, CO 80601 ~ 3) 559-2313 ailing Address: P.O. Drawer 507 Brighton, CO 806 <br />