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M. <br /> i <br /> j <br /> CHAI <br /> NU USTODY now Exam <br /> D4k�D <br /> } <br /> t ��— <br /> Geohgical audit Services, <br /> lnc � Date � Paz of <br /> PAW$III Md��NIlkGE�P-` L J <br /> Glint I PHON_Nt1M8ER <br /> . _ -ze OSx -- 626 ` <br /> N • C,I><t�c' G' SAMPi7EFts:(Signature, <br /> PROJECT <br /> � Lc- TESTS <br /> I SAMPLE TYPE SOLID ND.OF REQUIRED <br /> DATE TIME WATER <br /> AIR CNTNRS z <br /> L -A."0N comp_ Grab. <br /> SAMPLE DESGCRIPTION v f�f� <':5 .�!t CC 1�T4 V <br /> NUMBER 3� <br /> !vt �3;'SL' ftlic'u a-?` '✓ =��•lf ��.30 k. � ��• <br /> t4 - l35 r, 'k - r' <br /> - I I rr <br /> rP <br /> 4y� X 4 <br /> ilk vi .� <br /> ' _ D telTime <br /> i Received by:(Signalure) <br /> qel� wish by: i4 lure{ <br /> DatelTime <br /> Si nature) <br /> Received by:t 9.. DatelTime <br /> Relinquished by:(Slgnalure} <br /> Mobile Laboratory for lieid analysis: <br /> geceived by DatelTime <br /> Relinquished by:(SignatUlt`) 15ignature) ` <br /> - DatelTime R ived for Laboratcl!uy by: <br /> 1 nalare} �" L erlormance of the above Indicated wo(k. <br /> Dispatched cyss i hereby avlr*,Ze the p <br /> Method of Shiprnent <br /> Celt.Ica <br /> SpecialInstructions: <br /> Instruction <br /> . .. .. red Iran 11.5.EPA,1985 <br /> sbunCE.Aaao <br /> f <br /> y <br />