Laserfiche WebLink
CHAIN OF CUSTODY RECORD <br /> -_ �- Geological Audit Services , Inc . Dates=173-F Page / of/ <br /> -�=V= Enuironmenla/Professiona/s <br /> 7603 West March Lane, Suite A- Stockton, California- 95207-(209)956-0261 <br /> Client � � �� Project Manager <br /> Tests Required <br /> Phone Number <br /> 2041 YST, -o i& <br /> Samplers: (Signature) voice: <br /> Project Name '//���� /gyp GeoAudit� <br /> / Client ❑ <br /> Sample Location Sample TypeTol,dCN <br /> /7ePI <br /> Date Time Water Number Description Comp. Grab. A //% Notes <br /> I -W Wri�+o Isar l�:yS X X <br /> SP— ( �+rclr�cven �, r— 11 ?a <br /> RECEIVED <br /> by VVJ <br /> Y L yr <br /> • <br /> U ( ign ature ecewe y: ignature Date/Time <br /> Relinquished by: (Sign tur Received b (✓/ 's'_�r'_"" �� <br /> y: (Signature) Date/Time <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (S' nature) Date/Time <br /> Dispatched by: (Signature) Date/Time Rec_ived/oaorai� C <br /> 2 <br /> Method of Shipment: <br /> tabbiq6ry, Na <br /> I Special Instructions: <br /> "t I hereby A oriz he performance of the above indicated work. <br /> j999 <br /> y <br />