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-At <br /> Geological Audit Services, Inc. CHAIN OF CUSTODY RECORD <br /> �-� Date <br /> �ap <br /> age— L—otmow <br /> Client PROJECT ANAGER <br /> PHONE NUMBER <br /> PROJECT NAME <br /> SAMPLERS (S gn re <br /> SAMPLESAMPLE TYPE <br /> LOCATION DATE TIME �yAT�R OF <br /> NUMBER DESCRIPTION AIR SOLID N TESTS <br /> Comp. Grab. CNTNRS REOUIRED <br /> 30- . , HiQ <br /> Or-co <br /> 1313 I - 3 ! a �00 ' <br /> R inqu'Shed by:(Si nature) ecel by: Signa <br /> / �� Date/Time <br /> Relinquished by:(Signature) Received by:(Signature) ) 31 115; <br /> Date/Time <br /> Relinquished by:(Signature) Received by Mobile Laboratory or field analysis: <br /> (Signature) <br /> Date/Time <br /> Dispatched by:(Signature) Date/Time Received for Laboratory by: <br /> Date/Time <br /> Method of Shipment: 1 <br /> 1 hereby authorize the performance of the above indicated Werk, <br /> Special Instructions: <br /> i <br /> SOURCE Aaapted Iron U.S.EPA,1985 <br /> cc".100 <br />