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F+ <br /> IL <br /> � '--� Geological Audit Services, Inc. UI& CHAIN OF CUSTODY RECORD <br /> Date ?==Page—r of <br /> Client a S PROJECT MANAGER <br /> P- © <br /> PUN ilo'+N V RRIM 9s� —0Z1-f <br /> PROJECT NAME SAMPLERS. icr+ r <br /> SAMPLE TvpE <br /> SAMPLE LOCATION DATE TIME' WATER AIR SOLD NO.OF TESTS <br /> NUMBER DESCRIPTION Comp- Grab. CNTNRS REQUIRED <br /> _ X 1 <br /> w-Z <br /> r <br /> i <br /> W-0 <br /> W- x <br /> Relin ash tSignatwe} Re c rved b : Sig azure) D le/Time <br /> tP/l y1 /:00,p04 . <br /> R Ion utshed by:(Signatur Received by:(Signature) � Dat !Time <br /> AT <br /> Relinquished by:(Signature) Received by Mobile Laboratory for Reid analysts <br /> (Signature) Dale/Time <br /> � <br /> Dispatched by:(Signature) Date/Time ecew r La oral y by: DatelTime <br /> Method of Shipment: <br /> i hereby authorize the performance of the above indicated work. <br /> Special Instructions: <br /> SOURCE:Acapled fr^-^U.S.EPA,1W5 <br /> Cw.ipp <br />