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CHAIN OF CUSTODY RECORD•; <br /> =_�-_= Geolo ical Audit Services , Inc . <br /> v= <br /> EnVirnnmonta Protossionais. Date Page _1_ of 3 <br /> =.- <br /> 1803 West March Lane, Sulfa n- Stockton, California-95207-(209)956-0264 <br /> Z�l�t GASr� <br /> Client 6Ll7ww.5 Project Manager <br /> f306 Tests Required <br /> Phone Number <br /> 450�-026 4-- <br /> Sample s: (Signature) Invoice: <br /> Project Name GeoAudit <br /> `, Cli <br /> Sample Location Sample Type No. of \`� , <br /> Number Description Date Time — Water Solid Notes <br /> Comp. Gral,, Air Conts. <br /> b �I <br /> SPI- Z I,4�f <br /> c TLS <br /> SQL-z <br /> Z <br /> 5 <br /> PA-11 Z:ZS I �( x �>� ��4-L <br /> qurs a y: ,gnat r e er c y: r n ure �i1t� <br /> Dale/Time <br /> in uished b rJ J U ;v/v <br /> q y: (Signature) Received by: (Signature) AJ Dale/Time <br /> Relinquished by: (Signature) CSV t�j0 <br /> Received by Mobile Laboratory for field analysis: (Signature) Dale/Time <br /> T?M L <br /> Dispatched by: (Signature) Data/Time Received for Laboratoryby:y: Ile/Time <br /> Method of Shipment: Laboratory Name <br /> Special Instructions: - r,•i,,__ �„1_ .._�-- <br /> GOOD Gf NVnIGrJ_-/ AP' 'RCWPIATF / � 1 hereby authorize the performance of the above Indicated work, <br /> r - <br /> LAIV <br />