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Date Time <br />Grab/ <br />Comp <br />7 -z \ / 000 G <br />Client /Project Name: FSrri-g \I "u0-1-‘ L.O 0 <br />P.O. /Project Number: Q,•■ 140 R:3-7 1JiZ <br />Contact: <br />Address: <br />1 <br />SectCreitGrou <br />iN CNYINONMUNTAL •PNVICC3 Odai ?ANY <br />27` W e l 6-ve_ /W4A4, 6o g ( 414 <br />Phone# c ?Q g(,.'Q 7$qo <br />Fax# 170 s¢ <br />Report By: ❑ Mail <br />Sample Location or ID <br />NP Ds ?... <br />i`rnaru Requirement <br />(Analytical Testin>? <br />Standard (10 days) <br />3 -5 Day <br />Requested Report Date: <br />Relinquished B!.. <br />Signatu ate /Time <br />71Z -If <br />ro 3ta <br />E - Mail: Ti R Y 0..WU-NUa. .a ' <br />Sampler: <br />PDF 0 FAX <br />Signat <br />6 -9 Day <br />1 -2 Day <br />CHAIN OF CUSTODY <br />Lab ID <br />RAH anIYF <br />Test Species: athead Minnow <br />Special Instructions /Comments: <br />ceiv <br />Date/Time Signature <br />73 "-a'. i <br />1 015 <br />Analysis (Check all applicable) <br />1341 Cannon Street - Louisville, CO 80027 <br />(303) 661.9324 - FAX (303) 661.9325 <br />0 <br />a, <br />0 <br />0 <br />C <br />a, <br />v <br />m <br />v <br />0 <br />w <br />m <br />1- <br />a <br />Ceriodaphnia <br />Daphnia magna <br />is <br />0 <br />u <br />0 <br />` w <br />E <br />z <br />Daphnia pulex U Other (List Below) <br />el mquish ed B; <br />Date /Time <br />Signature <br />eceived By <br />Date /Time <br />