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CHAIN OF CUSTODY RECORD <br /> �= Geological Audit Services , Inc . Date 4L- ageLof-/ <br /> —��� EnVilOnInenla•PrOlOSSiona/s <br /> •���NNW 1603 West March Lane, Suite A-Stockton, California-95207-(209)956.0264 <br /> s3 <br /> Client L S Pro'ect Manager <br /> Snf+rz0�� Tests Required <br /> Phone Number <br /> Sampler : (Signature) Invoice: <br /> Project Nam �s���p��{ GeoAudit <br /> r_�icry ��LL Cll.�t <br /> Sample Location _ Sample Type <br /> Date Time Water Solid No. of � Notes <br /> Number Description Comp. Grab. Air Conts. <br /> I u� Rr 7' �` 5 a:yaw � I X ` i t4-90 <br /> Fi'AJ '� (�ilsi I�J,:7� f 4-zti l'r�k I 35491 <br /> ,;•r— <br /> f 4t OTHER <br /> GOOD WNDEf1ON�WEMSPA yeti — <br /> PRUPkIA --R <br /> .1e r s rgnatur 1 e y: rgnature Dale/Time <br /> L' <br /> eft quishe : (Si eta ur R cetved by: (Signatu r• p�" Y-10— <br /> Dale/Time <br /> alinquished by: (Signature) Received by Mobile Laboratory lot field analysis: (Signature) Date/Time <br /> Dispatched by: (Signalure) Date/Time flecelved for Laboratory by: Data/Time <br /> Method of Shipment: Laboratory 4ame <br /> Spacial Instructions: <br /> KEPT1 het It horiz the performance of the above Indicated work. <br /> r C'N/GcEI� �2-Y J <br />