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Note: Each piling must be bored.
To Be Completed By Laboratory
Sample No.
%
Retention
pcf
(CrO  3)
Copper
(CuO)
(AS2O  5)
Zinc (ZnO)
Total
Penta/Creosote
Conforming
Nonconforming
Laboratory:
Address:
Signature & Date:
E-2








Western Governors University
 


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