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Geological Audit Services, Inc. CHAIN F CUSTODY RECORD <br /> Date 7 Z— Page of <br /> tv . <br /> Client PROJECT MANAGER <br /> ` o N1 - ---... ... <br /> PHONE NUMBER <br /> r <br /> 2.6 4( <br /> PROJECT NAME SAMPLERS fS� al I <br /> SAMPLE TvpE <br /> SAMPLE LOCATION DATE TIME t•1aTcq AIR SOLID NO.OF TESTS <br /> NUMBER DESCRIPTION Coma, Grab. CNTNRS REOUiRED <br /> fly ID I <br /> W-/1 <br /> !! <br /> `" 13 Zg �( <br /> W-14 l� X I <br /> Aelind {S' tore} ece ved b i nature} <br /> Date/Time <br /> Relinquished by:(Signature) Received by:(Signature) Date/Time <br /> J <br /> r <br /> 'A_ <br /> Relinquished by:(Signature) Received by Mobile laboratory lot field analysis <br /> (Signature) I DalelTime <br /> Dispatched by:(Signature) Date/Time Received for Laboratory by: <br /> Date/Time <br /> I .. <br /> Method of Shipment: I hereby authorize the performance of the above indicated work. <br /> Special Instructions: <br /> SOURCE:Aoapted from U.S.EPA.1495 ! a <br />