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=`. Geological Audit Services, Inc. GHAiN OF CUSTODY RECORD <br /> > <br /> Date- <br /> 0/2 Pa4e s t)f�iQ_ <br /> Cfifnt PROJECT MANAGER <br /> PHONE NUMBER <br /> PROJECT NAME <br /> SAMP RS.( ran I <br /> ►k ���' ' <br /> ' SAMPLE TvPE <br /> SAMPLE LOCATION DATE TIME WA i ER AIR SOLID NO. OF TESTS <br /> NUMBER DESCRIPTION Grab. CNTNRS <br /> CompREQUIRED <br /> . <br /> Vj- -30 <br /> 1 <br /> W- 3I r <br /> W <br /> W- 5* <br /> + 1 � <br /> Aelingv ed b ,( jpaature) ec ivetl ( ig ature) <br /> 4�R� <br /> QatelTime <br /> :Ob n► <br /> Atli uished by:(Signature) Received by:(Signature) <br /> Date/Time <br /> 0 . <br /> Relinquished by:(Signature) Received by Mobile Laboratory lot field . <br /> (Signature) E 40 a; <br /> Dispatched by:(Signature) Date/Time Received for Laboratoryb <br /> y: Date/Time <br /> Method of Shipment I <br /> r I hereby authorize the performance of the above indicated work. <br /> Special Instructions: <br /> SOURCE:A08pted tram U.S.EPA,im <br />