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CHAIN OF CUSTODY RECORD <br /> Geological Audit Services , Inc . Date ��y-9 - 2-- <br /> 141803= Ent'ironmenla Professiona/s Page Z- of <br /> = -.- _ <br /> Wesl Match Lane, Suite A-Stockton, California-95207 -(209)956-0264 <br /> �� CO <br /> Client 4L©9c-)?J S Project Manager <br /> Tests Required <br /> Phone Number <br /> �Xl rSCo-vL�n - <br /> Samplers: (Signature) Invoice: <br /> Project Name GeoAudit �- <br /> C�'Lb�ot�l S �'f��fG�T -� �T� Client <br /> r-1 <br /> Sample Location Sample Type <br /> - <br /> Number Description Date Time Water Solid No. of �, <br /> -7 Comp. Grab. <br /> Air Conts. % Notes <br /> 517 "Z (L_q/� ( t/ t/ /Go h s r TIE 1 <br /> �7��1�I1_E 4 It-� 1 i �l /t Fo <br /> r �urs�, y: ( rgnature tRoe* <br /> i n lure <br /> LED 4 CDate/Time <br /> linquished by: (Signature) %�/ �- ?'TC-) <br /> d by: (Signature) .-T� Dale/Time <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) <br /> J <br /> Date/Time <br /> Dispatched by: (Signature) Date/Timo Rieecevor Lahby: <br /> Dole/Time <br /> Method of Shipment: rf, T <br /> r �'3, (ilR r 11,11 tl i� �•, Laboratory Name <br /> : I�Tt._„��' <br /> `.fit t !'ICS i=ZL <br /> Species Instructions: 'i <br /> EV <br /> WMAMT <br /> Z 7 <br /> I hereby authorize the performance of the above indicated work. <br />