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t - j <br /> . f > <br /> •HAIN-OF-CUSTQQY-.ROCORD <br /> (See Re"- r lnsti a tlons) $V lU <br /> PROJECT NAME -' PLA L`. 7 -- SAMPLERS -,Tz ^ U"�A�Lcmd vkv SAMPLE CONTAINER SAMPLE DESCRIPTION CODES TAT CODES <br /> IP -ori! DESCRIPTION CODES A. Gwuni Wa1Lr F.Ol <br /> PROJECT NUMBER �Z� ��r� _ - k 40-,rj%U^Viol e. stir6m wakr o %Vega > sr�w,�d <br /> iS7iN} B.Glaaa Lher E. Brava Tubo C.1 omhue H.BlaskAiip+Zke Y. 1 ur <br /> REMROER G. PFuGr EMsil F Olher-- _ 0- Buuoate j-Otter —. 3. 2a Flour <br /> ID- Plamic Lilac _ E- 54teYSelimerl — - . <br /> � 3 <br /> NUMBER OF ANALYSIS REQUESTED LABORATORY USE:ONLY <br /> COATAW.RS <br /> AND <br /> � FPESErAdAT10N �^ d •• ; <br /> SAMPLE R' <br /> 91 _ NOTES ASSIGNED COMMON � <br /> 1E - BUiTLE UPON <br /> DATE TIME SAMPLE ID � � � � A. 2 NUMBERS RECEIPT NOTES <br /> LI.- AVx 41m <br /> c <br /> ci->e=g .%r b 1, 4.g 4- Wi- O ". I. <br /> - r <br /> 40 <br /> — <br /> iV13TEi5f MISCELLANEOUS - -- Retitltqulshad by.(Signature) Remi By.(Signature) Elate Time i <br /> Relinquished By:{Sog re) reined 6y: tllia rime TIM <br /> Relic uished t na lure Received Sig re) Date ime <br /> Usthad of Shipmerd Dessrlptlan of Ctfw Chains-43f-Custody Dlspalchad®y_(Sig nture) - slate Tinee Received for lab By:(ftnalure) Date Time <br /> Trongwrt Container Transported wilh this <br /> Chain(by Serial No.) <br /> is Send Lab Results to(Nanw1 . — (Check Office Betaw) Verbals Requested: Yes NO ❑ <br /> ❑ AnAaNTA ❑ CENVER ❑ IFIVtNE © MT.VIEW ❑ PORTER ❑ OTHER <br /> t TEL(404)951.0855 TEL Pn)79G-1747 TEL(714) 757-1755 TEL(415)9W-1640 TEL P9)92&0054 T I <br /> 1 FAX(404)95&9364 FAX(303)799-0186 FAX(714) 757-0960 FAX(415)960-V734 FAX P9)QM7169 � — <br /> ❑ BMEMAN ❑ HOUSTt3N ❑ KING OF PRUSSIA ❑ PLEASANTON ❑ PORTLAND ❑ OTHER <br /> C TEL(406)596-9496 TEL(713)556-1®66 TEL(215)337-2551 TEL 1510) 463-M17 TEL(503)241-0282 TEL <br /> W(406)SWOM FAX('fS3]55&0866 FAX(215)3374L960 W(510)40,28B1 FAX(503)241-0486 FAX <br /> -CANME ENVIRONMENTAL SERVICEa CORP. • 6300 SOUTH SYRACUSE WAY. SU1 L=300• ENGI.F-WOOD,CO OD111 • TELEPHONE (3I)3 28336 • FAX 040=}3 1 <br /> SEAJAL WQ n V WME:Reld Copy YELL(Wt Pmjml Qpy Fm Latma1w,Copy HE1t IABP. <br />