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03 - -- ' <br /> Clearwater Group <br /> Subcontracted Microbiology Assays <br /> performed by <br /> C;ytoC'ulture Environmental Biotechnotogy <br /> CHAXN OF CUSTODY FORM <br /> Project Name Project No Clearwater Purchase Order/LOG IN# <br /> La r <br /> Clearwater Client Organization Clearw ter Project Manager <br /> Address to Send Results <br /> 0-11 �iltL58u.� 11�E ���7 etc-CfMo�{J G4 <br /> Client Fax for Sending Data Client Contact/Project Manager. <br /> �o-23z zz3 <br /> Client Tel for Follow-up Client Sampler/Recorder <br /> 5'10 307 -qy�V3 x 231 <br /> Sample-ID a 1 Matrixt Bacterial Chemical <br /> erobic ic Anaerobic <br /> Hydrocar on Total �ynaerob <br /> drocarbon Total Nitrate Iron Sulfate <br /> Date Time Soff Wate De radar Heteratro hs Degraders Hetero hs Reducers Reducers Reducers H DO NH3 PO4 NO3 VO4sulfrde Fil Fe !1 <br /> mw-1 3-5 N 5 '7� <br /> Chain of Custody Record Signature of this form constitutes a firm Purchase Order for services Payment DUE on Reporting Date <br /> R inquxshed by Date/Hr Received by Date/Hr <br /> Re a d or CytoCulture y Date CytoCulture Tel 510-233-0102 249 Tewksbury Avenue <br /> no_t�\�CAJOL 3 ��d 3 � Lab Service Fax 510-233-3777 Point Richmond, CA 94801 <br /> (, A, z J,r 0P15`tuk tic- <br /> N'Ar<� C+Z �83°3�6 k,o r MW l uv-[� IK W!5 CIA <br />