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J.H. KLEINFELDER AND ASSOCIATES <br /> 2425 SOUTH COLORADO BLVD. • DENVER,COLOPAIDO 80222 <br /> r. 3)�so-26n CHAIN OF CUSTODY RECORD <br /> ' I <br /> Proi.No. Project Name SAMPLE TYPE — <br /> �, ti <br /> SAMPLERS:!signature} v c n I r <br /> c c <br /> REMARKS <br /> b d <br /> :o c <br /> c tl n p o C `6 I <br /> d L L q tl <br /> STA NO DATE 11ME STATION LOCATION a m " "0o 0 o R o <br /> (� 2 0 U O to m m m G Z U <br /> / �// W/ o <br /> ��I'M <br /> / 10 TAI,NO Of CDSJTAINFRS <br /> /'ru/. �/ / /, <br /> R lin 1i hed f:rsgnat„re) Date/Time Receiyed by:(signarurd Relinquished by:rsign,rmo Cate I Time Received by rs w�n,es <br /> Relinquished by:rSgnat •e) Date/Time Receive by:rsignarurr) Relinquished by:Issgnatwe) Date/Time Received by is gnaru.r! <br /> Relinquished by"esignarwe) Date I Tirre Received by:(signarurn) Relinquished by:isignerura) Date I Time Received by:rsmnarvrrr <br /> Method of Shipment: Shipped by-(signa)ure) Courier rsgnaru+e) i Received for Laboraiory by: Date/I ime <br /> )ISi c )"(` �L. <br /> �7 <br /> 14,j)v�f PeIIv�li-_ 1• ��• ale v (e We f � � drrura � ,_� � <br /> Analysis Laboratory should sign and return top copies to J.H.KLEMPELDER AND ASSOCIATES at above address 1255 <br /> Pink•Lab Courtesy Copy - - <br />