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~t <br />• "~ Colorado Ana( tica( <br />~Lab^ratories, Inc. <br />CHAfN OF CUSTODY RECORD <br />COMPANY NAME: <br /> <br />f •, k t ~ Jrr7y ,~ ,,~ , ~ <br />V if I!'~ CONTACT PERSON: <br />/ ~ <br />~~,,~ /~L~ ,~/~,.-l <br />L P / / __ <br />Colorado Analytical <br />•~aboratarfes, Inc. <br />P <br />rawer 507 <br />O LABORATORY <br />USE ONLY <br /> <br />ADDRESS: <br />/rG~ ~~~?~" ~~~ <br />PROJECT ID / DESC 1PTION: <br /> <br />~ . <br />. D <br />240 South Main Street >~ s ~ ~ ~ ~ ~ ~t <br />t~9 1 <br />CITY/ST/ZIP: ~.r G~~ _ p ~ .~ (~ -`-~~ f <br />U"~' Brighton, Colorado 80601 <br />303-659-2313 <br />'1 <br />' <br />TELEPHONE: <br />~~i <br />~ =~')J -'!~!l SAMPLED B _ <br />~ <br />FAX: 303-659-2315 ~' ..~ l <br />~ I <br />~a- <br />LAB # d` <br />, <br />, <br />FAX: ~~3 ° Z' S _ ~~S C.~ P.O. NO.: TESTS RE UESTE D <br /> <br />Sample Matrix (Circle Ones: <br /> <br />DRINKfNG WASTE GRO ND SURFACE SOIL SLUDG <br />WATER WATER WATER WATER <br /> <br /> <br />OTHER (Specify): <br /> <br /> <br />~ <br />` ~,; ~ <br /> <br />u~ <br />~` <br /> <br />~ <br /> <br />~ <br />>' <br />J <br />_ <br />~', ~ <br />y~ <br /> <br />~ <br />~- <br /> <br />J <br />~=' <br />_ r <br /> <br />J `" <br />` <br /> <br />. <br /> <br /> <br />~ <br /> <br />~ LGN <br /> <br /> <br /> <br />OC <br />/ ~ <br />OC <br />DATE TIME CLIENT SAMPLE ID: ~' v =,~ ~ <br />~_ ~~,''~ DISP <br />~ '7 S'.f G+.~ <br /> <br />Zz <br />~ DUE <br />oZ ~ ! ~ FiEPOF~-RESULTS <br />C d ~ ~ ~-~ ~ TO COH. Y - N <br />.~~~ ~! Wt f.t, .yf.'i F. ~L° ~~'~ <br /> <br /> ~U~~~~, <br /> -- -- - - <br />~ <br />~ <br />~F <br /> ~ <br />~ ~ ~a~~ <br />, <br /> <br /> CI~YI~~AT~_ <br /> ~~I~: <br /> <br /> _. <br />COMMENTS: DELIVERED BY: <br />RELINQUISHED BY '' DATE/TIM <br />2~Li~' <br />.30 E Y D(p' 1 r- RELINQUISHED BY <br />/ 4~ O-, DATElTIME RECEIVED BY DATE/ TIME <br />240 in St. Brighton, CO 80601 a' (303'659-2313ailing Address: P.O. Drawer 507 Brighton, CO 806 <br />