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HF-GION VIII,ONE DENVER PLACE <br /> Environmental Services Division CHAIN OF CUSTODY RECORD 999 18TH.STREET <br /> PROJ.NO. PROJECT NAME DENVER,CO.80202-2413 <br /> SAMPLERS:(Signature) -- /, NO. �CO <br /> (- �.�__ ( OF tib <br /> . `� ` ' •- ,q \t, ��' REMARKS <br /> CON- ` >� <br /> a m TAINERS _1 f <br /> U <br /> STAT.NO. DATE TIME MSTATION LOCATION --------------- <br /> ^ 1 <br /> ("PA T13X :.� t: 1 I-,- /r/.:' 'i. <br /> 0vl..\0 - �1,A) - "'> 1 ` <br /> i i1 I�I dr (JUU (A C - ` 7 <br /> K �? 3L0 <br /> 11 )r.7 C'.rv) - 1�to- 7 I <br /> 1 I <br /> '. I <br /> Relinquished by:(Signature) Date/Time Received by:(Signafure) Relinquished by:(Signature) - Dale/Time Received by:(Signature <br /> l / <br /> 1 <br /> Rellnqulshed by:(Signature) Daterrime Received by:(Signature) Relinquished by:(Signature) DaterTime Received by:(Signature <br /> Rellnqulshed by:(Signature) DaterTlme Received for Laboratory by: Daterrlme Remarks <br /> (Signature) 1 u 1 <br /> Distribution:original Accompanies Shipment:Flral Copy to Coordinator Field Files:Second Copy to Representative of Inspected Facility Spilt Samples: <br /> R8 EPA-014B (4.21.86) n"""pind r1 """"""'' -- <br />