Laserfiche WebLink
Geological Audit Services, Inc. CHAIN OF CUSTODY RECORD <br /> Date Page of <br /> V <br /> Client - ��� �N��',� / PROJEl MANAGER i <br /> PHONE NUMBER <br /> PROJECT NAME SAMPLERS. rgna we)74, <br /> SAMPLE TvPE <br /> SAMPLE LOCATION DATE TIME V/A ER AIR SOLID N0.OF TESTS <br /> NUMBER DESCRIPTION romp. Ga-b—j CNTNRS REOUIRED <br /> 1 <br /> 2-4 <br /> Relin !7/y- <br /> r In tui Received by:(Signature) Date/Time <br /> Af <br /> Rehnqurshed by:(Signature) Received b (Signature) <br /> Y <br /> Date/Time <br /> Relinquished by:(Signature) Received by Mobile Laboratory for 1,810 analysis Date/Time <br /> rgna ure <br /> Dispatched by:(Signature) Date/Time Received for Laooratory by: Date/Time <br /> Method of Shipment: I'tereby authorize the performance of the above indicated work. <br /> Special Instructions: <br /> SOURCE A08pted from U.S.EPA.1985 <br />