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• '~ Colorado Analytical <br />Laboratories, Inc. CHAIN OF CUSTODY RECORD <br />COMPANY NAME: <br /> <br />C I ~ + ~ ~ ~/' ~.s CONTACT PERSON: <br />,,© ' l <br />~~~~ /T~'~- "" <br />Colorado Analytical <br />P.O ~D rawer 507 n c' LABORATORY <br />USE ONLY <br />f\l ~ 0 2 6161 <br />ADDRESS: <br />'~~ ~, `~~ (~~~ PROJECT ID / DESCRIPTI N: <br />240 South Main Street <br />CITY/ST21P: i ~ C-©~ ~~~ ~~~~ 303-659-23113rado 80601 „/O~ ~ ~~ <br />~ <br />Y~"/, <br />TELEPHONE: <br />lHlla <br />3 SAMPLED BY: r ~~~~ ~. FAX: 303-659-2315 LAB # ( <br />~ <br />- <br />3a~~~3 <br />FAX: 30 3'g3~ ' ~~ P.O. NO.: <br /> <br />Sample Matrix (Circle One • <br />DRINKING WASTE GROUND SURFACE SOIL SLUDG <br /> <br />WATER WATER ATER WATER <br /> <br /> <br />OTHER (Specify): <br />~~ <br />`-~ <br />w <br />a~? <br />~~~ <br />7 <br />~'0 <br /> <br />'~' <br /> <br />-fJ-~- <br />:. _ <br />~ ' <br />~ '~ <br />~: ' <br />^,~ <br />Y <br />~ ~ ~.~, <br /> <br />~S~. p_ <br /> <br />Qom' <br />~, <br />} <br />~ `, ' '' <br />«, <br />~=~ <br />~~ <br />- ~~~ <br /> <br />~'.[l <br />G <br />L TESTS REQUESTE D <br />LGN <br /> <br /> <br />LOC <br /> <br /> <br />QC <br /> <br />DATE <br />TIME <br />CLIENT SAMPLE ID: <br />~~ <br />o v u' i <br />~ <br />i - ~:,o m ~ ~+~- x ,, ~ <br />DUE <br /> ~Q:2a ~ v~ ,,_ ©~ ~ ]~ ! ~ REPORT RESULTS <br />• N <br />Y <br /> q <br />(:fJ ~j ~ W ~ <br />a. t <br />1 ^~r <br />TO CDH: <br />iDRI~ r i JG . =P ~I~:L <br /> W ~ ~~ ~'UBLL; b".'AZ EP SUPP~f f~1FOR <br /> <br /> ~, <br />SYS fJ/~N1E:_ ' <br /> A <br /> DDRESS: <br /> GITY~STATE <br /> 'IP< <br /> ~OUNJY'_ <br /> <br /> <br />COMMENTS: DELIVERED BY: <br />RELINQUISHED BY DATElTIME <br />~~%~~n R C D BY DA~/TI~~~ <br />~JJ~~~~ iz ~ RELINQUISHED BY DATElfIME RECEIVED BY DATEITIME <br />240 S. Main St. Brighton, CO 80601 • X03) 659-2313 nnamng Haaress: r.v. urawer Dui - o..y..w.~, w o~ov ~ <br />