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CHAIN OF CUSTODY RECORD / ANALYTICAL SERVICES AGREEM <br />CLIENT INFORMATION,{/..?'?? Evergreen Analytical Laboratory Inc. <br />Aail Original Report to- L/^ " ; rv n . <br />EXHIBIT B <br />MORGAN COUNTY COMMISSIONERS <br />COMPLAINT <br />MORGAN SAND AND GRAVEL <br />Attn 4036 Youngfield St. Report Results b. <br /> <br />S <br />Z ? Wheat Ridge, Colorado 80033 Standard 2 working weeks ? <br />- <br />Address (303) 425-6021 <br />? <br />UST Analyses per Fee Schedule <br />City L`, k J n State Zip /Z .0 FAX (303) 425-6854 o <br /> <br />Tel # y? S J Fax # ` <br />E-mail A- 'A", 9 Y tL? ?4,'"D • (877) 737-4521 <br />info@evergreenanalytical.com 'flush: ? less than 24 hrs, 150% ? 1 - 2 work days, 100% <br />? 3 - 5 work days, 50% ? 6 - 9 work days, 25% <br />IEPORT ALSO BY O FAX I(PDF ? EDD CONFIRMATION OF SAMPLE RECEIPT REQUIRED? ? YES `Subject to surcharge & exceptions noted in fee schedule. <br />tYUH 1 U HHUMAI OUKAMS U NU <br />fail Invoiceao: MATRIX ANALYSES (check analysis) For Laboratory <br /> Use. Onl <br />Attn <br />Address o <br />WCQ•# - / <br />z U N ar (o <br /> <br /> <br />City State zip °) °1 co ° a Zli co <br />co B O:F # <br />m Q <br />Tel # Fax # m Q ° m ° -? v? ^ ran 3 (C) <br />C/ <br />(1) <br />1ect ID# L f", Q c r la.? (, <br />ro _ <br />`° ?° 5, <br />c°o m w° a co m° m 3 a-°, o <br />a <br />? <br /> <br /> <br />0. Quote <br /> <br />N N <br /> <br />o f <br />m <br />o y <br />m <br />a <br />.o N 7 U N <br />U v o ca <br />cv y y (a ? ° n <br />'- ? Z y y <br />v N Q <br />co <br />a) / Ice? <br />T C <br />?? - :.. . <br />Seals Present Y/,W/ NA <br />(? •? <br />ampler <br />- <br />- m <br />a 0 <br />?o <br />a 3 3 <br />m a,? s o. h a <br />m O ` a ?n <° cn o o h m m a <br />E E ° E E <br />o <br />Samples Pres. Y / N / OK <br />,- <br /> <br /> <br /> <br />TE: Identify Known Hazards Oe/ow <br /> <br /> <br />o <br /> <br /> <br /> <br />`' <br /> <br /> <br />o m <br /> <br /> <br />a <br /> <br /> <br />o m? a <br />N <br /> <br /> <br />o 9'. ? n cc) a o <br /> <br />, co <br /> <br /> <br />C) cu <br />g m <br /> <br />o <br /> <br /> <br /> <br />' <br /> <br />t IeadspaceY l tG / NA <br /> <br /> <br /> <br /> <br />LE DATE <br />SA U :2 20 <br /> <br /> <br />C: U > <br />in > m cv co o <br />c <br /> <br />cu <br />m > °? v <br />m <br /> <br /> <br />a a N a <br />c <br /> <br /> <br />M <br /> <br /> <br /> <br />y <br />IDENTIFICATION SAMPLED TIME z O o 0' o a i co ?°? J. o Q <br /> /s2 2- <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Sample Fraction <br />-Z I <br />nstruction!j- /- v- /4-S <br />_ _:a_ 4... -r .............. r-,,-A;f,- Aninns Rrnmlde. Chloride. Nitrate. Nitrite, O -Phosphate, Sulfate (Circle) <br />II IIPV1 <br />lelinquished by: (Signature) <br />Date/Time <br />Received by: Sign re) <br />Date/Time <br />Relinquished by: (Signature) <br />Date/Time <br />Received by: (Signature) <br />Date/Time <br /> <br />ifbfi /l// / ? -U I <br />, rI C% <br />l r-1 ,C(fl_l <br /> <br />r 7 t , <br />I