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Aga tioCreitGrou <br />M ENVIAGMMIINTAI. SARV IGeS £OMP4NY <br />CHAIN OF CUSTODY <br />1 <br />1341 Cannon Street - Louisville, CO 80027 <br />(303) 661.9324 - FAX (303) 661.925 <br />Al ?J'r_S <br />Client /Project Name: <br />P.O. /Project Number: <br />Contact: <br />Address: 2.- 6.4 L W <br />Phone # q70 g 4 2s <br />Fax # 70 g , 4 ZI G <br />Report By: ❑ Mail PDF <br />Requested Report Date: <br />elir>iquis <br />1f E S R(LtJ `us-L,S (OLo Oo <br />arou Requirements <br />Ivtical Test ng'Cr iv <br />Standard (10 days) <br />3 -5 Day <br />Date/Time <br />7erg.(1 <br />(130 <br />L— tx -I-A Cr) — <br />S? 14 z- <br />E -Mail: T'FRy €(,J t,UFC.lJuGUi <br />Sampler: <br />^F' <br />0 FAX <br />6 -9 Day <br />1 -2 Day <br />Grab/ Lab ID <br />Comp wa Use Only) V <br />eive d;1 <br />Date/Time <br />iniS <br />0 <br />a) <br />m <br />v <br />0 <br />0 <br />v <br />w <br />Signature <br />Analysis (Check all applicable) <br />inquishe <br />Date /Time <br />Signature <br />Test Species: Eikthead Minnow J.Ceriodaphnia ❑ Daphnia magna ❑ Daphnia pulex ❑ Other (List Below) <br />Special Instructions /Comments: <br />h eave <br />Date/Time <br />