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f. ttttt... <br /> CHAINF CUSTODY ORDGeoIogical Audit Services, Inc. <br /> Date .Z 2 PageOf Moo" <br /> aw <br /> Ile— &#1FI-L`G r- <br /> Client �'�GUK ( illy" PROJECT MANAGER <br /> -• ,,, ZD� _ fr5r6- 0�6� <br />� RFfd E N MBER <br /> 1 6 o— ► T7z 3 LGTI�- ' <br /> PROJECT NAME SAMPLERS (Signature) <br /> SAMPLE TYPE <br /> SAMPLE LOCATION DATE TIME WA;ER AIR SOLID NO OF TESTS <br /> NUMBER DESCRIPTION Comsp Grab CNTNRS REQUIRED <br /> L131y2- <br /> ( ( <br /> 53 <br /> Relmq ned by`{Signature} Received by (Signature) Date/Tim <br /> e <br /> Relinquished by (Sig sture) Received by (Signature) DatalTrma <br /> Relinquished by (Signature) Received by Mobile Laboratory for held analysis Z W,G , Date/Time <br /> (Signature) <br /> Dispatched by(Signature) Date►Trme Received for Laboratory by Date/Time <br /> Method of Shipment I hereby autnonze the performance of the above indicated work <br /> Spear!Instructions. <br /> SOURCE A080ted from US EPA 1"S <br /> CC&iC0 <br />