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ACCUTESTB <br />LABORATORIBB <br />CHAIN OF CUSTODY <br />Accoteu laharumrim Mauna Sletes <br />4036 You.gf Sow Wheat Ridge, Ca 00033 <br />TEL. 303425 -6021 577 -737 4521 <br />PAX 303-425 6021 <br />arc <br />PAGE t OF 6 <br />Company Name <br />Strata • ••rea <br />OEODMOB <br />1111111M111011111111111MINISMMIIIMIIIE <br />■r■■irr■P1n11111eNwww•1111 <br />uulIuuIul.I1.Iuu1uu11u1I -R <br />■ii■iiuir irMInc7i♦u♦i/im <br />iiiii■I■r!r9C1Em c7 cur.m • <br />u JASF_me_ <br />Dm. n.. <br />DW - Dunking Water <br />GW - Ground Water <br />Mid • Water <br />SW • Sudm Water <br />SO -Soli <br />SL <br />Sludge <br />SEO-S.dimard <br />O1 -al <br />LiO. Other Liquid <br />AIR - Air <br />SOL • Other Sold <br />WP - Wipe <br />FB-P0ld Blank <br />EEL Egwpmenl <br />R3 -Rase Blank <br />TB-Tna Blank <br />LAB USE ONLY <br />oL <br />� <br />o <br />U <br />Company Rama <br />Satin Add ess <br />Stine <br />Premed Contact E -moil <br />l VIA <br />Phone* <br />�'C <br />Sample IS) Nome(s) Peens • <br />San* . <br />Turnaround Time ( 01.b1... day.) <br />708ualn.n D.y. <br />5W. 5 Busln.s Day. (By Contract Only) <br />❑ 3 Day 0S51 <br />❑ 3 Day E3ERCB:'NO <br />❑ 2 Day EBERGEMT <br />❑ 1 Day MERGE-MT <br />Elan.. B Rush T/A data (wlable VIA Lablink <br />Rdmquleh.d by S.melr. <br />R.bpuw6.d by. <br />City <br />PO. <br />Prolao11 0)300er <br />Dd. Tin /»¢/ 14 <br />7 <br />A.pre..d ay (AnoA.a1 PR).l Pat. <br />San <br />P.m. By <br />lten0on <br />Field ID / Point of Collec0On MEOW. Wd• Dw Mabh <br />It. a� 1l <br />El= OIan <br />swessammommirmanny <br />rammummilmwmanium <br />ate <br />mho 04 preserved <br />Commercial '8'. Results + QC Sumer) <br />EXTradnra <br />Commerc al •A• (Laval 1) 0 Sane Farm. <br />p Commerciale" ( Laval 2) fl EDO Format <br />p Commercial 'B' •Narroev. Ig PDF �a <br />FULLT1 ( Level 3 41 /CA.\h <br />Commercial 'A'. Results Only 0) r y p• <br />N Costo• mustba documented belowm h )),. sane• les chan•a •.s.o.5lon Includin• courier dolly <br />Relinquished 6y <br />4 <br />Cu.,* Sod 5 <br />T9�mten <br />e 3/ <br />Preserved when walkable <br />tSS0144 <br />¢r ea 6S ' <br />CeOh, Temp, <br />I <br />• ode Cormd. <br />AcabmJOb l / GZICJ� -f'S <br />Molds Codes <br />D22645X: Chain of Custody <br />Page 1 of 6 <br />6of11 <br />• ▪ accuTas <br />022645X `a ° °an`a ° ' <br />