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Geological Audit Services, Inc. CHAIN F CUSTODY RECORD <br /> �wa� Rate Z Page of <br /> r <br /> Client PROJEt;.i MANAGER <br /> PHONE NUMBER <br /> PROJECT NAME SAMPLERS: nal el <br /> SAMPLE TvoE <br /> SAMPLE LOCATION DATE TIME tVATER AIR SOLID NO. OF TESTS <br /> NUMBER DESCRIPTION <br /> Comp. Grab. <br /> CNTNRS REQUIRED <br /> -ZZ U419 -02/-. 7-P � T�i�-of BIZ <br /> vu-z3 � <br /> "2-4 de, �C <br /> W—ZP <br /> W,L X 1 <br /> Relingw d b (S' tune) Aec wed by-(Si n lure) <br /> DatelTime <br /> Relinquished by:(Signatur Received by:(Signature) <br /> DatelTime <br /> Relinquished by:(Signature) 'v O h` <br /> Received by Mobile Laboratory for held analysis: DatelTime <br /> (Sign <br /> Dispatched by:(Signature) DatelTime Received for Laboralory by: Date/Time <br /> Method of Shipment: f <br /> I Hereby authorize the performance of the above indicated work. <br /> Special Instructions: <br /> r SOURCE:AcsPled r•-U.S.EPA, 1985 <br /> . .. \ �CCR•tp0 <br />