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Client/Project Name: Fiji; ISLS C <br />:,,, <br />I oppp!i0Ve) <br />P.O./Project Number: <br />!WET: Acute (Indicate Below) <br />1 <br />WET: Chronic (Indicate Below) <br />WET: AccelerateIndicate Below) <br />!WET: PTI/TIE /TRInd * ate Below) <br />(*IMAM) sle}aIN <br />Solids (TS /TI S /TS$) (Circle) <br />Anions (List Below) <br />Chromium III/VI (Circj <br />Oil and Grease <br />Coliform (TEta ca Coli) (Circle) <br />BOD /COD (Circle) e <br />r Other Analysis (List Bttlow3 <br />" ,,,' <br />417 <br />,,.. <br />!Number of Containers <br />Total Volume <br />-------. <br />Contact: <br />Address: 214, * tAi 4. /kJ' t (4 <br />Phone # dy70 it 44 ' 157 <br />E-Mail: . riAltie tOC-c-autt04. 0 <br />Fax # 11 to 2.- i <br />Sampler: <br />Report By: EJ Mail <br />EJ FAX <br />PDF <br />Sample Location or <br />Date <br />i ) 470 1 I <br />Time <br />1 <br />Grab/ <br />Comp <br />CV. <br />Lab ID <br />(LAB Use OnIW <br />I. .4 v ' **' <br />1 <br />6 <br />I 4 1 a LAO 1C+.. <br />Turnaroundit <br />. " (Analytical Testlna <br />uirements : <br />Only <br />Test Species: Fathead Minnow <br />• <br />Daphnia magna <br />al <br />Daphnia pulex EJ Other (List Below) <br />Ceriodaphnia <br />Standard (10 <br />days) <br />6-9 Day <br />1-2 Day <br />Special Instructions/Comments: <br />3-5 Day <br />Requested Report Date: <br />Riiiiiquished By (1) ' ' <br />. Received By (1) , . <br />Relinquished 4(2) <br />, ,, - Received (2) <br />Signature <br />Date/Time <br />-----------r <br />Signature"; , ,' <br />-, <br />,, ..,:r, <br />Date/Time <br />, <br />Signature <br />Date/Time <br />Signature <br />Date/Time <br />f ictotrestGrou <br />•N ENVIRONMENTAL SERVICES COMPANY <br />CHAIN OF CUSTODY <br />1341 Cannon Street - Louisville, CO 80027 <br />(303) 661.93 - FAX (303) 661.9325 <br />