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A <br /> • CHAZO;F�CUSTODIYECORDGeologycal Audit Services, Inc, <br /> Date Page 1 of <br /> 7:;_: Date-Za - <br /> {'L or- PROJE T MANAGE ���(/� <br /> rt�ffl� ���`"w aT�� / _ <br /> PHONE'NUM��EReyl <br /> p�fI <br /> f�� TJX QZG <br /> PROJECT NAME SAMPLERS- I �alur <br /> SAMPLE TvpE <br /> SAMPLE LOCATION DATE TIME WA7ER AIR SOLID �) <br /> O. OF TESTS <br /> NUMBER DESCRIPTION Comp. Grab. CNTNRS REOUIRED <br /> Aim) weu-- --A-J &N,sv !4� <br /> i <br /> I <br /> . t <br /> Ref Quashed by:(Sighvture) Received by:(Signature) Daler7ime <br /> Relinquished by:(Signature) <br /> Date/Time <br /> �1 <br /> RelinqursheC by:(Signature) Received by Mobile Laboratory for held analysis DatelTime <br /> i 2 v� �'�TAFT <br /> Dispatched by:(Signature) Date/Time Reive or Lao ratory by: _ DatelTime <br /> � 3 <br /> Method of Shipment: I hereby authorize the performance of the above Indicated work. <br /> Special Instructions: <br /> SOURCE'Adapted Irani V.S. EPA. 1985 <br /> IYPLtM <br />