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��� *✓I ,rule UI I�UJ t vU I I tLl..UIiU <br /> Geological Audit Services , Inc . Date ��� Isa�e z , <br /> _ =; En1411MMenta Pfofessiona/s <br /> Hill , <br /> 4 1$03 West—March Lane, Suite A Slacklon California 85207 (260)650 02114 r � <br /> Y <br /> ClientProject Manager <br /> t <br /> I1�AMEI..I-!nom C�;�S�{1�T11 Cd. ! <br /> Tests Required <br /> I <br /> Phone Number i <br /> 26�t q 56 -o L6 4- <br /> 1 <br /> Samplors: (Signature) Invoice, <br /> t <br /> Project Name 009WIJr -- f,045 W W y �` GeoAudd <br /> Client ❑ � <br /> Sample Type <br /> Sample t_ocatlon f � <br /> Number Description Date Time Water Solid No oq� <br /> Comp Grob Air Corlts NABS <br /> 101 p--tvil <br /> v 1 - 3 o tl 3a' X- 1 }� _ c?q1 <br /> 515_ 20 fir -yrs 6rij2a/ <br /> $t5�7� tr <br /> S5 / j1rfJ r1y l ' fn <br /> X X - O <br /> 25 ' IZ• � !U'oa r 9V1' - oaRp <br /> 3 <br /> �tfa� �a r6C+�+w-s�t 3or 1}-lcf ` too � x <br /> c [s o nature floco[va y ($rgnoturo� ,T.t.'T— Oal /Tim <br /> oYtnquishod 6 (Sipalu eco y ( nature) � � I e a/Tim• <br /> Relinquish O br( gnature) <br /> ftocoly d by Mobilo Laboratory for field analy Is (Signature) Dalelfime <br /> Dispatched by (Sign lure) DololTirno Ilocatved for Laboraloty by Oale/Tlme <br /> Method of Shipment Labocalary Na <br /> Spacial Instructions 1 hereby authorlxs Ilre performance of the above Indicated work <br />