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Jim IN <br /> If <br /> �. , � . <br /> CHAIN-OF-CUSTODY RECO,RntAND ANALYSIS REQUEST ' <br /> PROJECT UMBtr, PROJECT NAME: <br /> CHECK ANALYSIS TYPE REQUESTEDzlcL C <br /> I TYPE OF CONTAMINANT: Ir <br /> SAM PL RS:(Signature} <br /> l s 7-1 <br /> a+ <br /> CHEMISTRY <br /> MICROBIOLOGY <br /> tiP �Q (List by letter) (LislSAMPLE by leller) ❑� <br /> NUMBERf.D. �2 �� yo y�0�j= �� oti`' �\�4. �w0 see below see bbelow <br /> REMARKS <br /> YX0 <br /> Na 54t1R15 'TAKE <br /> h R <br /> 00 <br /> 9 7: D C tr <br /> i� <br /> MICROBIOLOGY: --. . <br /> CHEMISTRY: `" n , I <br /> A Standard Plate Count K Iran Bacteria (qualitative) AA Ammonium LL Chloride o , a w -T <br /> B Nutrient Enrichment Count L Sulfate Reducers B8 Nitrate MM Sodium W ql,l• <br /> C Hydrocarbon Utilizers M Nitrate deducing Bacteria CC Nitrite NN Polasslum Ch <br /> D Chlorinated Solvent UI€lizers N Actinomycetes DD Total Hardness 00 Alkalinity C N CD '.•., <br /> E Single Component Organic Utilizers 0 Algae EE Calcium PP pH/Eh * , <br /> F Mixed Organic Utilizers P Protista FF Magnesium 00 Total Dissolved Solids e o '[V ` <br /> G Special Substrate UtilizersC. <br /> Q Fungi (yeasts, molds) GG Total iron RR Total Suspended Solids A�x <br /> H Total Goliforms R 1200 HH Soluble Iron S R <br /> Fecal Coliforms S Total Solids <br /> S Determinative Bacteriology II Sulfate TT Cop <br /> J Iran Bacteria(quantitative) T Other JJ Phosphate UU Dry We€ghllMoisture 3onlenl <br /> KK Manganese W Specific Gravity wa <br /> `- <br /> AELiNC HIED BY: ATE f RECEIV D Y , ROJECT MANAGE <br /> OFFICE <br /> 51 <br /> Ali? <br /> LINOUISHED BY: DATETEMI AND OONDMONS.This dCeumenl conslitules an aulhdrieed ehnlracf to pert m the r+oA herein renuesled <br /> :•—� COVE Y L�OAATORY:� samples recetmd lnram and cordo4mmV III the Glourwnler Techraropy lne Blereclama• QA=VArbalds srt torlh � <br /> TIME. I Q-s,/s.sQ� +JXA in the GTI GAiGC plan mit be pmeessed Idlwirq d01 GA:2 Drocedu,n Sa Ihe:e teq.remeM <br /> �'�' wa obe processed—I protect man)gets approval afq issunplm 0!IEss eOnrWm�p s <br /> nly <br /> pnnsh:61r y. <br /> tri <br /> J <br /> s <br /> yy I <br /> ::»� <br />