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%Geolt am M M <br /> o ical Audit vi CHAIN OF CUSTODY 1ORD <br /> g Services, Inc. / <br /> _ Date 3 Z Page--.Lof -2. <br /> r <br /> CN1At PROJECT MANAGER <br /> 13,0a M��-r <br /> PHONE NUMBER <br /> CZUQ] q56-62-64 <br /> - --�-- <br /> PROJECT NAME SAMPLERS c�a re <br /> i t <br /> SAMPLE T-DE <br /> SAMPLE LOCATION DATE TIME tVA.ER AIR SOLID NO. OF TESTS <br /> NUMBER DESCRIPTION Comp. Grab. CNTNRS REQUIRED <br /> I <br /> 12 A. <br /> #�!� �/2 3 -Q a- '97-87 toa.L <br /> cxf "4� [,L <br /> b4- 45 6123 x <br /> 94, 50 4123 <br /> 64- 65 6121 <br /> _ C <br /> 5 4 7 s / <br /> Relin ig tui sl e. y:( ignasure n ,1 pate/Time <br /> Relinquished by:(Signatun Received by:(Signature► DalelTim! <br /> 41 w <br /> Relingmshea by:(SiQnaturil) Received by Mobile Laboratory I«r Reid analysts Asq+P <br /> iSignalure) + Oate/Time <br /> Dispatched by:(Signalure) DatelTirne Rece veil ► abor tory by bate/Time <br /> D�� a <br /> Method of Shipment. I hereby aulhoriie the performance of Ih!above u1d1Cated wOrlt. <br /> Special instructions: <br /> SOUACS 4a30led From U.S.EPA.19aS <br /> txr+.11ad <br />