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�flfti� tftlt� IIS Itltltltltltltlf i � � <br /> CHAIN OF CUSTO ECORD <br /> * Geological <br /> �Audit Services, Inc. �Z _�� <br /> Date Page o(� <br /> r <br /> r 5- "o � CA <br /> CEW) VA BAKER P � p <br /> Client PROJECT MANAGER � l�- CRE <br /> RVEN <br /> - 1\) c]1 5 RkA t& V AtA- PHONE NUMBER _ ^� <br /> T 0 C-'K--T (- zoq ) q <br /> PROJECT NAME SAMPLERS (Signaturg) <br /> SAMPLE TYPE <br /> SAMPLE LOCATION DATE TIME WATER AIR SOLID NO OF TESTS <br /> NUMBER DESCRIPTION Comp Grab CNTNRS REQUIRED <br /> .. <br /> IL -- I ) O: 1 l/ <br /> 7v <br /> 7bf 1 �< ,Z ✓ <br /> i <br /> k <br /> Rein u,shed y (Signature) Receive Signature) DalelTime <br /> Relinquished by (Signature) Received by (Signature) DatelTrme <br /> Relinquished by (Signature) Received by Moble Laboratory for field analysis <br /> DatelTime <br /> (Signature) <br /> Dispatched by(Signature) DalelTrme Recei r1t4or Laborat ry b r Date ime <br /> t2 ( 3b <br /> Method of Shipment I hereby authorize the performance of the above indicated work <br /> Special Instructions <br /> R��3 �) uro agLo 4, e- <br /> GCA rOQ <br /> Aciaoted from US EPA 1985 <br />