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"F, <br /> Me 13MIUMNIEWArnmi <br /> I3SK Log number ANALYSIS REQ ESTICHA; jc CUSTODY RECORD <br /> -36 — <br /> j <br /> Client Name �y <br /> �t 9/Q Z Pro6ee1 ar�O,� P 49F Iib use required <br /> � � <br /> dsa rb Phone r k,b 0* <br /> City.state.zip s/O Ylr �� section aspen attention <br /> Jas <br /> SrNnDhed W . <br /> [)ate Time -TIM C e G� e Nu to Lab San" �c <br /> sampled sampled e< Semple Seep v tl � I •�� <br /> osr,wl Sample description finers number 0 key AZ Ot/M eb <br /> 7. <br /> IMPORTANT NOTICE:No samples will be analyzed without an authorized signature in This sWion. <br /> 1 am hereby requesting fiSK's Normal Chain-of•Cuslody Procedures for the above samples.I understand That t am hereby requesl ng 8SK's Formal Chaln-0bCustody procedures for the above sa <br /> these procedures are generally consistenmples.t understand that <br /> consistent with those outlined in the US.EPA,SW 846 and that there Is no these procedures are generally consistent with those odUned in U.S.EPA rid <br /> Gx,lract Laboratory negram Stat <br /> extra charge for this service, men[W Work,Sediun F,and that Ilrere is a c1,at of S:+UOt) <br /> By: <br /> greater. Per work cedar or=5.00 a bdtle,whichever ie <br /> Aulhortred Stgnaluro <br /> &O cdzed S' azure <br /> Signature Print Namn <br /> Relinquished by Company Date Time <br /> iJ� e �• <br /> Racal by <br /> Rall od by, �h <br /> Received <br /> Relinquishedl ALL A;U7 <br /> H'►`" cf,�"`_ /Ili [,r�ifaJ rf=S <br /> Received 61f - <br /> 13-5 <br /> KEY rype:AQ sSiSkgga EaSpB PE•Siairdaan OT Other <br /> teal Laboratories y +T -v oSeats:lPe-Pr�CcANARY-LeBoRAoR ` <br /> E <br /> PINK-OFLIGINATOR /r/!/moi• rt,:d 3 <br /> �� t Na[s: r// / x <br /> A 1 5 n om,a 337416 7A�'Vr S Samples are 1,Jaya after results we repand tastes other anangemarys mo�ratada�/�7/ y�Lie C, <br /> Tr.1flephnne f2 8SSH310 Fa rms'41 4 H�r�was will be returned b rpt Or fsposed d at dwd expense <br /> • ��/ - jL <br />