FORM 5
EP 1110-1-28
RISK ASSESSMENT SOIL SAMPLING
31 Aug 01
(Composite Sampling Only)
(Attach a Copy of the Chain-of-Custody Form to this Form. See Lab Report for QA/QC
Information.)
NOTES:
Name of Risk Assessor (print)
Certification Number(s)
Signature
Date
Figure B-5: Risk Assessment Soil Sampling Form
B-18
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