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1�■■� r� �r r� �r r rr r■� rr r rr r� �■r rr rr r� <br /> IFCHAIN OF CUSTOD CORD <br /> eological Audit Services , Inc . 3-z _� <br /> EnYimv7men�a Pmlesstiana,Cs Date Page - Of <br /> to 1903 West March Lane, Suite A- Stockton, California-95207 -(209)956-0261 <br /> Client Project Manager <br /> s,,j Tests Required <br /> Phone Number <br /> Sam lers: (Signature) Invoice: <br /> Project Name / GeoAudit <br /> j Client ❑ <br /> Sample location Sample Type t <br /> Number Description Date Time Water Solid No. of / / /�� Notes <br /> Com Grab. Air Conts. 1 <br />'Y � �Zd� 34073 <br /> 348?4 <br />%Li- 3f, fr �, 34875 <br /> j �( t 34876 <br /> '4dR77FFFF <br /> 34874 <br /> Uw '��3� ' )` .�'� )f X ' 34878 I_ <br /> e i ui a by: r e cer a y: ig attire)ffJf <br /> lin i ed by: (Signature) Received by: (S gnaturs) <br /> ater ime <br /> Relinquished by: (Signature) Received b �A it <br /> ,^ .yr�A�l apglk�pry�o•field analysis: {Signature) <br /> - o` j,. . , (1 SPI J I}�j tf L QatalTime <br /> Dispatched by: (Sigt�at r�)t . -�t�tr 1 Y -tt��^ r( 'FSi I�t_ Da�ime Roceived lot Laboratory by: <br /> 17� OLLEIIIIillll�i•�«�_ I�i'11 Qalefrinne <br /> Method of Shiprnen . u Lab o tory Name <br /> Special Instructions: <br /> I hereby authririso the performance or o above Indloaled work. <br />