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Z) l <br />(0;2- <br />0 <br />0? <br />Analytical <br />Laboratories <br />Client: ?o C Cites ?/1? ?/, L L C <br />Contact: Address: e?4 73 C. 12 . / ? C?, <br />Phone Number. 9 Try $ s' t/5 Z l3 X 6 So3 <br />FAX Number. 9re, 385 , ql0 3 6 <br />CHAIN OF CUSTODY RECORD <br />NOTES: <br />1) Ensure proper container packaging. <br />2) Ship samples promptly following collection. <br />3) Designate Sample Reject Disposition. <br />PO# <br />Project Name: J l f A 4C <br />PL 9A6 A i/ / .P.G /Jan tr.?' <br />Page ( of? <br />Table 1. - Matrix Type FOR GAL USE ONLY <br />1 = Surface Water, 2 = Ground Water GAL JOB # <br />3 = Soil/Sediment, 4 = Rinsate, 5 = Oil In <br />6 = Waste, 7 = Other (Specify) <br />Lab Name: Green Analytical Laboratories (970) 247-4220 FAX (970) 247-4227 Analyses Required <br />Address: 75 Suttle Street, Durango, CO 81303 <br /> Collection Miscell aneous Preservative(s) D? <br /> V <br /> O <br /> <br /> <br /> <br />ample ID <br /> <br /> <br />ate. <br /> <br /> <br />ime <br /> <br /> <br />-? °J. <br />cl- <br /> <br />y <br /> <br />(U <br />b <br /> <br />J <br /> <br /> <br />omments <br /> r l'.2 <br />a, <br />H? c <br /> <br />v - <br />w <br />it 0 <br />a <br /> <br />v <br /> ?s 0 <br />a M <br />o a ° x <br />o <br /> U w z v? x P Z o <br />1. W+c?Z w L? /? /k <br /> <br />33t2 2 Y _ •1 <br />4. 03 l/A qtr/ / p. , i,,, _0 Z Z X y/ <br />K.- NG ar <br />5. <br />6- <br />7. <br />8. <br />9. <br />10. <br />Relinquished by: Dat //? Time: Received by: Date: Time <br /> <br />Relinquished by: <br />Date: <br />Time: <br />Received by: -t <br />Date: <br />Time <br />3ampie icelecr: L 1 xenon L 1 Ltspose L 1 More (30 Days)