Laserfiche WebLink
rspaCre.PtGroup CHAI N OF CUSTODY 1341 Cannon Street - Louisville, CO 80027 <br />, ^ „ „E „ „1 --- - -„,— (303) 661.9324 - FAX (303) 661.9325 <br />Client /Project Name: VV C S i C -- L5 Q)1-09 �0 <br />Analysis (Check all applicable) <br />P.O. /Project Number: <br />e,.,�j 4U(ZS2U f�A ZUF?- L <br />O <br />°' <br />m <br />v <br />u <br />c <br />v <br />a <br />w <br />o <br />aJ <br />CO <br />Y <br />u <br />C <br />— <br />.E <br />o <br />u <br />w <br />3 <br />m <br />-O <br />C <br />a <br />a <br />Q <br />w <br />m <br />C <br />`” <br />w <br />w <br />3 <br />3 <br />O <br />aJ <br />m <br />v <br />U <br />� <br />N <br />o <br />o <br />Ln <br />3 <br />O <br />a <br />m <br />� <br />c <br />° <br />a <br />V <br />= <br />r <br />u <br />v <br />(D <br />-0 <br />c <br />o <br />= <br />V <br />y <br />LU <br />\ <br />a <br />v <br />w <br />ry <br />o <br />E <br />o <br />o <br />u <br />'2 <br />v <br />o <br />m <br />3 <br />—° <br />N <br />m <br />^ <br />T <br />L <br />o <br />v <br />M <br />C <br />O <br />U <br />0 <br />� <br />z <br />0 <br />> <br />o <br />Contact: 0"-- �- <br />Address: 27 Gl((. ICJ �Jz L e>h- , C U <br />Phone # �U q(. 751 0 <br />E- Mail: ” -wdcl /- 01.,7 <br />Fax # ° 70 9C.4 2 I (-9 <br />-�' <br />Sampler. - <br />Mail PDF FAReport B y: X <br />❑ <br />Sample Location or ID <br />Date <br />Time <br />Grab/ <br />Comp <br />Lab ID <br />�ABORo ^W� <br />v >, <br />i <br />Z <br />L� <br />Turnaround Requirements <br />(Arial ftalTeatinzonlyl <br />Test Species: []�fathead Minnow ffceriodaphnia ❑ Daphnia magna Q Daphnia pulex ❑ Other (List Below) <br />Standard (10 days) 6 -9 Day <br />3 -5 Day 1 -2 Day <br />Requested Report Date: <br />Special Instructions /Comments: <br />Relinquished By (1) <br />Received By (1) <br />Relinquished By (2) <br />Received By (2) <br />Signature <br />t <br />Dateiie �2 <br />4sf <br />Signature <br />7 <br />-�,� <br />Date/Time <br />Signature <br />Date /Time <br />Signature <br />Date/Time <br />