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r - r r �r - ■r �r rr r� rr irrr = rr r rr , rr rr <br /> CHAIN OF CUS DY RECORD <br /> eol <br /> o g 'Ica( Audit Services , Inc . Date 3(2wq 4 Page Of <br /> T�� Enyironmenla/P�ofessiona/s <br /> 1003 West March lane, Suite A•Stockton,California•95207-(209)956-0264 <br /> ass � <br /> Client Vj ho ,,,A Po a d v Project Manager 06b Kiel ti Tests Required <br /> Phone Number <br /> t�Oq) qy b --o;. 6q <br /> Samplers: (Signature) Invoice: <br /> Project Name / Q I) o w 54 luta p or!e 2". � GeoAudit CA Client ❑ <br /> Sample Location Sample Tyke <br /> Date Time Wafer Solid No. of ,4r Notes <br /> Number Description Air Conts. <br /> Camp. Grab. <br /> 1 Ci Id DrU945 .. �..r�,� 7, . 3 7 COrlfpo9, e <br /> -� - <br /> 34964 <br /> D-1 3 <br /> e ingws ed byw (Signature) eccry—ad ry: ( gnalur0) 57a rh�d I.A-T' Oala(Time <br /> Relinquished by: (Signature) v d by: (5;gnatu r (?atef im <br /> M <br /> Z/-/-9// <br /> Relinquished by: (Signature) ecelved by Mobile Laboratory for field analysis:(Signature) bete ima <br /> Dispatched by: (Signature) UatelTimo Recoived for Laboratory by: Date/Time <br /> Method of Shipment: Laboratory Name <br /> Oil <br /> Special Instructions: y I horahy nuthoriza the poriormanoa of the above IgflloRied Work. <br /> __ . -_ �- <br />