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Bitting information: vs r.tainer/flreservativ 3 Chain of Custody <br /> Flying J Inc, ' °fi `� Page—of--_ <br /> F, <br /> Leigh Beem <br /> 333 West Center Street 333 West Center Street <br /> gam.; <br /> North Salt Lake,UT 84054 North Salt Lake,UT 84054SC <br /> Report to: Email: 12(16.5 Lebanon Road <br /> Rob Thompson k, Fz n 6.�� Lz—;J elee rthompson@ogienviro.com,e � � _ � t ML Juliet TN 3711 <br /> foject ity15tate c ➢ E ;t > <br /> escriptlon: ollected ; Phone:1906)167-5959 <br /> QL k Phone,(615)739-5859 <br /> Client Project#: Lab Project# F. qtr Fox.(61 St Y`1 <br /> none: (801)296-7700 d <br /> x <br /> F034 <br /> 7AX (801)296-7800 <br /> FLYJNSUT-RIPON <br /> ollected qy print): I * 5itelFaciIlly ID#: <br /> Ekh `�k 4rn�5 P.O* 4 . .3 <br /> V. <br /> ollect si netu Rush? (Lab MUST Be Notified ' ar (labusaay) <br /> Y g ) ��. Date Results Needed k� r <br /> j T e�JNs1 � ag r <br /> _Same Day............ ....200% <br /> Gr ° tg G 'l5iai <br /> mmediatel Next Day..i..............100% c - l�`+ 's <br /> �/ —Two Day..................50/ Email? _No Yes Na. ) <br /> asked on I FV Y/� �{ t �r °xl <br /> Three Da <br /> . _ Y.......... — .. ldt111i1 <br /> 25% FAX? No Yes of aShl ala ed a <br /> Cntrs fi'° Gni ohio <br /> Sample ID CompfGrab Matrix' Depth Date Time At, Q n' <br /> RemarWContaminant Sample#(lab only) <br /> ra, S5 � 0 Ito x <br /> ss p 11 3 �, X -07, <br /> 5s j 3 ;' z:Ea. X ' -03 <br /> SS l l X <br /> Z 5 ss 5 r�t5 X <br /> $ r3 Z e(O s3 10 Z C0 a .g X <br /> 5 <br /> "2' - L�rS SS Z.(2_ t a X .. e -07 <br /> 5 <br /> r3-2— e-z.� ss p za X ; = -4 <br /> MA <br /> C>L-1 Z 46) F) )<: x H ld <br /> 'Matrtx: SS-Soil GW-Groundwater WW-WasteWater DW-Drinking Water OT-Other p Temp <br /> Remarks: <br /> Flow Other <br /> Ren is ed by:( nature) D7,1114) <br /> : Time: Received y(Signature) p es retume via: CondttioR f a` lab use ort(y} <br /> Z DG FedEx❑Courier ❑ a j +' 8 ' > r�z <br /> e m uis ed ate: ime: --Received r� s <br /> Q Y: Bottles Raced <br /> ; 4 � f � rCOCe Y N �33 � <br /> eto ucshed a ate: ime [�FrW- ; " he ed ear 4 ) b1( $ 3tti =z+a dt a 6 � hlF� rp. <br /> t <br />