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Chautauqua-LR 920730t-~U,~ 992 2575 LONE STAR DRIVE * P.O. BOX 224227, DALLAS,TEXAS 7~?.22 * 214/631-2700 R~rt ~o. ~-07-2~7 R~rt D~te ~/~/~ 10:55 HCH CO~PORAT I O# 1&7~ RICHARDSON DR., STE. 230 RICHARDSON, TX. 7~080 Attn: JEFF HICKS Project CITY OF COPPELL Date SenpLed 07/30/92 Sample Type~ATER P.O. # SelRpLedByRAYf4OND SAL%HAS Trmlsported by JEFF HICKS Date Recetved 07/30/92 Lab No. D2-07-297-01 D2-07-297-02 D2-07-297-03 Salmte IdenttfJcatiofl #IoCHAUTAU~dAPLACE I~-BETHAL SCHOOL #3-HARRIS ST/BROOKS LN R e~eged By SCUTHkESTER# LAR~I~ATORIES WiLLiam d Gasa, FAS Order # D2-07-2~? 08/0~/92 10:55 CLimt: HCH CglL~I~TIO# P~e 2 TEST RESULTS BY SAI~P~E StapLe: 0lA Jl-cKAUTA, U~UA PLACE CoLLected: 07/30/92 02:00 Test #eme #eth~ ResuLt Units Totl[ CoLiform 909A 0 coL./lO0 Detection 0 07/$1/92 NU SempLe: 02A /2-BETIIAL ~CKQOL CoLLected: 0?/30/92 02:15 Teat #eme #ethed Resu~~ Units Tote[ Cotifor~ ~A 0 CoL./lO0 Detection Dote Limft Stetted AJ~o[Yst 0 07/31/92 k'~ Semple: G~A d~3-JlA~IS ST/BI~ LN Collected: 07/30/92 02:25 Test Name #ethed ResuLt UnJts Total CoLifom 909A 0 COL./lO0 Detectiqfl Det~e Limit Stetted AnaLYu~ 0 07/31/92 IAJ / / ~"'*~ ~""~*~"*""**,,,-.~..'~,..,-~--w,~,,~,,-,~,~,-~.. ANALYSIS REQUEST AND CHAIN OF CUSTODY RECORD ProjectNo. Client/Project 0~ ~ &pp~// ' Field Date No. of ~mpl~ ~mple No./ a~ Gr~ Comp ~mple T~e(Liquid, Pr~ewative Anal~is R~u~ ~rato~ Identification Time ~ntainers Sludge, etc.) Remark~ [~=, (Signature~~ time: ~ :~O ,:~:~:~:~:~:: u~ Relinquish~ b~: ~ Date: R~eiv~ by: Date: ~ ~:::~u~::: (~gnatur ~me: (~gnaturo) nme: ~d ~ :~::':rq~;,::~ "~i~uish~ b~ Date: a~v~ b~ ~ ~ Date: ~. ~ ntac~ 112