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r <br /> t I <br /> Geological Audit Services, Inc. ;, :' cf-� aw O CUSTODY CORD t <br /> `4lw®av Date ?` 1 Page_ of Z__ <br /> Client-� P 1 'L`b/,", PROJ CT MANAGER <br /> PHONE NUMBER <br /> PROJECT NAME 1 SAMPLERS:(Signature <br /> SAMPLE TYPE: <br /> SAMPLE LOCATION DATE TIME <br /> NUMBER DESCRIPTION trATEN AIR SOLID NO.OF TESTS <br /> - comp. Grab. CNTNRS REQUIRED <br /> -C' ' .._.. <br /> 1it,, <br /> i F <t°� <br /> f3s' <br /> rr <br /> .a <br /> ( x FP# 4., <br /> Rely quish by: l lure) Received by:(Signature) <br /> D Iemme <br /> �J J <br /> Relinquislietl 6y:(Signature) <br /> Received by:(Signature) <br /> DatelTim:, ' <br /> r Retingdished by;(Signature) Received by Mobile Laboratory for field analysis: , <br /> (Signature) 1 DalelTime <br /> Dispatched by:(Signature) DatelTime R ived for Laboratory by: ; <br /> Y l DatelTime <br /> Method of Shipment: <br /> I hereby authorize the performance of the above Indicated wprk. <br /> Special Instructions:. 1 <br /> i <br /> SOUFICE:Acatrled Irom U.S.EPA,1985 -•�...�� _ <br /> . - - CCR Im <br /> P� <br /> 70 3 <br />,r <br />