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t lulu AUt:NL;Y REGION Vill,ONE DENVER PLA, <br /> Environmental Services Division CHAIN OF CUSTODY RECORD 999 18TH.STREET <br /> DENVER,CO.80202.2413 <br /> PROJ. NO. PROJECT NAME <br /> NO. <br /> SAMPLERS-(Signature)• �f�M-, /w---'• • . �•%• • 'r , <br /> OF <br /> REMARKS <br /> CON- <br /> TAINERS <br /> STAT.NO. DATE TIME O STATION LOCATION TA 6 I► <br /> TJ <br /> ri I t t► r i r, ! ��ou !_'rV)(. it- t•t/--T;z <br /> 1 S I��It�`�l• 130., l'rL1 l_f. . SW-7 t <br /> K 6113 F-Iy36j <br /> 1315 >< c^.N1( tC- 5 —T13 �. `�. 2-ILI I <br /> Z Il),u rl, lrlb'S >< Crti1 - tl/ — TI z ► >< �� - I t17�.;^i <br /> -7'l7_ I � ' 11 � .1 � I'-I ll•i�� <br /> �.zo `e-Mti3b�o <br /> I 1 ,I,„I,to r C't11C /. - jtA,.. T/I <br /> I i tt�l,lrt� n3S Cme ,c —SG -T) ti <br /> �, t+l►1.�;1., ��; a �',M<_r- -- ;w - -r��, I ,� � ,��. . . <br /> .,7� <br /> 08 <br /> 210 <br /> 4. <br /> Relinquished by:(Signature) Date/Time Received by:(Signature) Relinquished by:(Signature) Date/Tlme Received by:(Slgnatur <br /> G►�., �,��.._. / 7f! ,;!♦'� t, .16,C.cSU I lup. ,J•<.��'1 I I�ld�(� kv-,o <br /> Relinquished by:(Signature) DaterTime Received by:(Signature) Relinquished by:(Signature) DaterTlme Received by:(Slgnatur <br /> Relinquished by:(Signature) Date/Time Received for Laboratory by: Date/Time Remarks 7 <br /> (Signature) <br /> Dlsiributlon:orloinai Accompanist Shipment:First Copy to Coordinator Field Files:second Copy to Representative of Inspected Facility Split Samples: <br /> RB EPA-014B (4.21.86) n — --- <br />