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46 I i i i I ( t 1 L [ [ i l I t i I <br /> Geological Audit Services, Inc. CHAIN OF CUSTODY RECORD <br /> v <br /> Client F7 G� J PROJECT MANAGER <br /> PHONE N MBER <br /> PROJECT NAME 2 aq <br /> CASSAMPLERS. (S _nal <br /> SAMPLESa►Ap�c ;voE <br /> LOCATION DATE TIME . <br /> NUMBER DESCRIPTION %VA ER AIR SOLID` OF TESTS <br /> Comp Grab NTNRS <br /> REQUIRED <br /> Relinqu,s by:,(�ign ) Received by:(Signatu11 r 11 e) <br /> ft,-, at. WJf&-JfA) Q /„� /��� Oat*/Time <br /> Relinquished by:(Signature) Recew by:(Signature) LJ 17 <br /> Date/Time \ <br /> Rel, u,sheC by:(Signature) <br /> Received by MOD,Ie Laboratory for Meta analysis <br /> IS,gnature) Date/Time <br /> Dispatched by:(Signature) Date/Time Rece r <br /> Labor ory y; <br /> Date/Time <br /> Method of Shipment: yl /f;00 <br /> I hereby authorize the performance of the above rndIcated work. <br /> Special tnstruCliona: <br /> SOURCE Aoat)ted from U.S EPA.1985 <br />