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4F <br /> t <br /> Geological Audit Services, Inc. CH NOF CUSTODY RECORD <br /> Date Page-1-0f 1-21 <br /> Now <br /> Client/Y^ OT ���� PROJECT MANAGER <br /> PHONE NUMBER <br /> 9� "°L � (�4J 9s v o�d <br /> PROJECT NAME SAMP R (Sicnat re) <br /> � K DF -S7�J� G��1Al <br /> SAMPLE TvpE <br /> �• <br /> SAMPLE LOCATION DATE TIME �q-cR AIR SOLID NO. OF <br /> NUMBER DESCRIPTION — TESTS <br /> Comp. Grab. CNTNRS REQUIRED <br /> 4- / <br /> k / <br /> r <br /> 4--x'3 4 i <br /> Rel qu ne b . ign u I Received by:(Signature) <br /> Date/Time <br /> Relinquished by:(Signature) Received by:(Signature) I <br /> I Date/Time <br /> Relinquished by:(Signature) Received by Mobile Laboratory for ! e!d analysis <br /> (Signature) I Date/Time <br /> Dispatched by:(Signature) Date/Time Received for Laboratory by: <br /> Date/Time <br /> Method of Shipment: t 6 1 )5-,-Io <br /> I hereby authorize the performance 01 the above indica ed work. <br /> Special Instructions: <br /> SOURCE Aoapted from U.S.EPA. 1985 <br /> ccR•100 <br />