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Geolo ical Audit Services, Inc. CHAIN F CUSTODY REC RD <br /> �— 9 <br /> Date o27 Page— <br /> Client yam/ M PROJECT MANAGER <br /> PHONE NUMBER <br /> PROJECT NAME SAMPLERS. (Sly <br /> natur ) <br /> SAMPLE TV-PE <br /> SAMPLE LOCATION DATE TIME VVA TER AIR SOLID NO.OF TESTS <br /> NUMBER DESCRIPTION Comp. Grab CNTNRS REOUIRED <br /> -25- I >✓ PLS <br /> L7 <br /> 1-,2 7-2 <br /> Relinq ped :( .gnaIur Received by:(Signature) <br /> / /t ////,�T Oat I Time <br /> V. ll� G -FAT <br /> I <br /> Ae ngwshed by:(Signature) Received by:(Signature) Date/Time <br /> RelingwsheC by:(Signature) Received by Moble Laboratory for !,eld analysis DateI -- <br /> Si <br /> me <br /> Dispatched by:(Signature► Date/Time Received for Laboratory by: l Date/Time <br /> Method of Shipment: I'vereby authorize the performance of the above indicated work. <br /> Special Instructions: <br /> SOURCE Aoapied from U.S.EPA. 1985 L Q - <br /> i O <br />