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Geological Audit Services, Inc. CHAIN OF CUSTODY HtCORD <br /> � Date /—?Z,,, Page- _of—" {; i <br /> i <br /> Client �� GIV��t�1 PROJECT MANAGER <br /> Ul L CPb,7L) i <br /> OVq�e 9,-1, 3 PRONG NUMBER <br /> —0z <br /> PROJECT NAME SAMPLERS (Signature) <br /> SAMPLE TYPO <br /> SAMPLE LOCATION DATE TIME SAMPLE <br /> AIR SOLID NO OF TESTS <br /> NUMBER DESCRIPTION Comp Grab CNTNRS REOU[RED <br /> -!,7",v�v �cr o-A 440• <br /> k <br /> i I <br /> E <br /> I � <br /> i <br /> 1 <br /> Relmgat b r� Received by (Signature) 57 _/ Da [Time <br /> Relinquished by (Signature) Received by (Signature] DatelTime <br /> Relsnr(urshed by (Signature) Received by Mobile Laboratory for field analysis Dale[Tsme <br /> f5+gnalure1_ _ <br /> Dispatched by(Signa iur Date/Time Received for Laboratory by ate[T+me <br /> . Zak"-- <br /> Method of Shipment Thereby aulwize the performance of the above indicated work � <br /> TLo� s <br /> Stsectal tnstru::t�ons I <br /> { <br /> sl <br /> r <br />