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=tom== Geological Audit Services, Inc. CHAIN F CUSTODY Y RECORD <br /> Date 6, Page�oi <br /> IQ_ _ <br /> Client I:AL&CAJ 7 PROJECT MANAGE <br /> PHONE NUMBER <br /> PROJECT NAME /� <br /> CAl`D��/-�L AVE / � �f' STC) SAMPLER, : Signat <br /> SAMPLE SAMPLE TYPE <br /> LOCATION DATE TIME WATER SOL <br /> NUMBER DESCRIPTION <br /> AIR NO. OF <br /> C Comp Grab. CNTNRS TESTS <br /> 2-G -- 1V r`VIt11,1ki 'PILO r 2 [l lz /v� REQUIRED <br /> -6 - 2 V <br /> ( i <br /> Relinquished by:(Si natur Received by:(Signature) . 1�.. <br /> Date/Time <br /> Relinquished by:(Signature) Received by:(Signature) I <br /> Dale/Time <br /> Relinquished by:(Signature) Received by Mobile Laboratory for field analysis. <br /> (Signature) Date/Time <br /> Dispatched by:(Signature) Date/Time Received for Laboratory by: <br /> Date/Time <br /> / <br /> Method of Shipment: x5' ` W C I o-qd /(-/`. q4 <br /> I hereby authorize the performance of the above indicated work. <br /> r <br /> Special Instructions: <br /> SOURCE:Aoapred from U.S.EPA,1985 <br /> CCA•t00 <br />