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i f i ` s <br /> Clearwater Group <br /> Subcontracted Microbiology Assays <br /> performed by <br /> C <br /> HAIN OF CUSTODY FORM U <br /> Project Name: Project No Clearwater Purchase Order 1 LOG IN#. <br /> a4 AaS Ti2tU& S 17- X733 <br /> Clearwater Client Organization Clearwatergo ect Manager <br /> Address to Send Results gq'ftnopo CJS- �Yo <br /> 221 '-QwO/O&Vy14A <br /> Client Fax for Sending Data. Client Contact 1 Project Manager' <br /> Client Tel for Follow-up Client Sampler/Recorder: <br /> lei I <br /> §MmRie ID 10-4--a - maws—Bactedal Plate Bacterial MEN <br /> Aerobic Anaerobic Anaerobi <br /> Hydrocarbon I Tota! Hydrocarbon Total Nitrate Iron B <br /> Dae Time Sof! Ager D dere Heterotro h D ro eterotr h Reducers ReducersIRu'ae'dy'c"ire DO NH3 PO4 NO3 SO4 Sulfide Fe!! Fe U! <br /> w�4 )5 <br /> X x YC <br /> Chain of Custody Record Signature of this form constitutes a firm Purchase Order for services Payment DUE on Reporting Date <br /> Rel quashed b Date/Hr Received by' Date/Hr <br /> � L,� Cel,lo-� 5%, / 0 <br /> Received for CytoCulture Lab by Date/Hr- CytoCulture Tg 510-233-0102 249 Tewksbury Avenue 1 <br /> Lab Service Fax 510-233-3777 Point Richmond, CA 94801 <br />