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Suns <br /> tar Rocky Mountai ain of Custody Rec .^� �� � ; <br /> 749 Corporate Circle <br /> Suite I <br /> Golden,Colorado 80401 V(O �O <br /> Phone 303-277-9310 �J <br /> i <br /> Fax 303-277-9531 a � � <br /> Client Ara ASS ej - % r C . Date 012-6 Q 4 Pae m � <br /> Address ik v Su, CA �� pro ect Number S 4- G Z59(g 000/ <br /> Phone - .. i Fax - -Z2u' Collector A lax f 1 o Yie Client Project ig .0� <br /> Proled Manager Batch if Proposal X <br /> w <br /> c .. 9 <br /> 0 <br /> Z. � U <br /> O q N N O O O q .R. O <br /> GO dp W 90 V d7 W f0 W Y 'n � <br /> Date Time Sample 9 Q a s na a a a a r s9 <br /> Sam n <br /> Sample ID Sam led Sam les Container 7 w w w w w w w w d O m n Comments ° <br /> TO-f" 'o NA c`. <br /> Vw 42 <br /> og D <br /> --T—j I <br /> r1 3 D <br /> Relinquished by (signiture) Date lime Relinquished by(sigrnture) Date Time Total#of containers L dotes <br /> Att4t. ����T ! Chain of Custody seals YININA To'j7 TD IhG �� „-6 <br /> T Seals intact?YININA t r F eA <br /> Relinquished by (signiture) D e Time Re urs D e line Received on ood condition ►�+'� <br /> x o� E a> VO !a TP>ef E7bE AME7 <br /> Relinquished by(signiture) Date Time Rei' rshed by(signature) Gate Time %A, t (2 C)CA <br /> Turn around time <br /> Sample disposal instructions Disposal Return 10 client Pickup <br />