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TO taoorSrOry: LAB SAMPLE CHAIN OF CUSTODY <br /> ��teDoratori°e a oder. <br /> 1931 W.Co Rd 42 Appried Engineering Prof033 <br /> ^vd.MN 55113 Sampler s.2nature <br /> 4-- <br /> S;tsN&rn* H30 W.,14a;i a(cl <br /> F,ten: Print Name Beneath Sig: � <br /> Appfisd Engineering,Inc. site Address Ol'ori o MN ndrewG• c-/'a 4G..., <br /> 2905 Oak Lee Terrace <br /> Wayzata,MN 55391•2333 <br /> ftv-rel 612-W9-WO REQUESTED ANALYSES: <br /> rresr• ;?8 278 llesals <br /> I�13 <br /> Sample Solo Location Type HNU vative No. <br /> all as G etw s t[5 �t xb <br /> Code mo/da T tme Water (all samples grab jn:ess noted) Depth Sail level (b) Jan• Gas i?0 c I (e r BTE Lea! (■I Otter <br /> 9307 l4 Ot <br /> 2 <br /> 3 <br /> 4- <br /> 5 <br /> 6 <br /> 7 . <br /> 8 <br /> 9 <br /> 0 <br /> r 1) <br /> 12 <br /> u <br /> a <br /> s. <br /> ,all <br /> 7 <br /> 8 .. <br /> 91 <br /> Comments: <br /> a to be analysed include Arsenic,Barium.Cadmium.Chromium,Mercury,Selenium,and Silver. Also analyze(or PCB's <br /> b M-Methanol:S-Sodium BisullaQe Crystalsjr�y:P,93efv&tfve: <br /> alvzo satrnple constituents per VAsoonsin DNR GRO and ORO Methods.to include GAO,DRO.BTDC and MTBE <br /> Relinquished by: Received by G <br /> 1. Sig.Osie.b Tims Z 93 3:51 Sig,company: 7 3 <br /> Print Name Eeneath Sig: l+e Nvv+} Print Name Beneath Sig: Z. H*W <br /> 2 ' Date a r �5 9 3 sig.c«npany: ,,� r4 �To1 7 <br /> 1 me Beneath ry /C y„� �.Uo.�..� Print Name Beneadt <br /> 9. Sig.Daae.Time 7C4�Y1 7 l n 12-3� Sig.Cornpeny: Lamry,r 13 <br /> Print Name Beneath Sig: Print Name 8enas M Sig: <br /> 4 osfv��lde,� ,o„2i92 <br />