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?f <br />o 2, <br />o3 <br />u iy- <br />Analytical <br />Laboratories CAIN OF CUSTODY RECORD <br />Client: t,v c' r jug ; V` , _ L ?. NOTES: <br />Contact: 1) Ensure proper container packaging. <br />Address:/ 2) Ship samples promptly following collection. <br />'f, 5 e? er Yo??,?!F?r 3) Designate Sample Reject Disposition. <br />Phone Number: ?f ?f7 4 K PO# <br />FAX Number:3,?S C Project Name: k: JC ey v 4trzV& <br />file=ilrc=<n?;i?r C ? ?y'' ??-`/?•4?Ly <br />Table 1. - Matrix Type <br />1 = Surface Water, 2 = Ground Water <br />3 = Soil/Sediment, 4 = Rinsate, 5 = Oil <br />6 = Waste, 7 = Other (Specify) <br />S <br />Page of <br />FOR GAL USE O? NL <br />GAL JOB # <br />i <br />Lab Name: Green Analytical Laboratories (970) 247-4220 FAX (070) 247-4227 An alys es Re quir ed <br /> <br />Address: 75 Suttle Street, Durango, CO 81303 1 6 <br /> <br /> Colle ction Miscell aneous Pre serv ative (s) <br /> I I Z <br /> I ?- o <br /> L <br />Sample ID Date Time Comments <br /> <br />1 <br />73 <br />HT <br />o <br />u; > <br />? <br />a , <br /> ?? o ° a O O <br /> <br />' <br />U o <br />G~ <br />Z <br />V <br />x <br />X <br />x <br />Z <br />O <br /> It J ?..lC• j- <br />/ p 1 IV 6 2-- -y ?fj <br />3. ± j)Gcr ? s cai?i? 5 "? Z- <br />a <br />4 <br />.> /a? C fl.?i? y`Sr'r? 3 ?. f/ t' §'J t; F tc •* f'fj C f I rAt' '. '.f E0.f ?C' C - <br />5. <br />b. <br />L <br /> <br />i <br />7. <br /> <br />9. s ' i 1 i i ` i i li i I I a <br />10. <br />Relinquished by i jf <br />, IDate:- li <br />i? s.e? <br />l (Time: J? <br />f(' <br />j Recei1? ' <br />y' -? Date r.- Time: E ( 6 <br />` t <br />? <br />?ti ? . <br />1 I <br />e L <br />! Ir E i 1 1 i( <br />F <br />t !? <br />ITriPtinnnishrr9 hv- In?te, ITj?„ IT?e ?d i, }+"S <br />3 IDate: ITime• @ <br />I I- <br />* Sample Reject: [ ]Return (]Dispose [ j Storc (30 Days) <br />