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CHAIN OF CUAIDY RECORD <br /> Geological Audit Services , Inc . 3-. 30--g <br /> ""~~ En�ironmenla P�olessiona/s Date` Page of <br /> 1603 West March Lane, Suite A-Stockton, California-95207-(209)958-0264 <br /> r <br /> client <br /> IN bio eq A 8 4 a d Q Project Manager <br /> 136L, Mrtr f, Tests Required <br /> Phone Number <br /> (,,.oq) ql 6 -6�1614 <br /> __- Samplers: (Signature) �� Invoice: <br /> Project Name Y F f f o LIV Scl ;$Iq I j V7 �1U y,, J?il �� r o� GeoAudit CA <br /> ' Client ❑ <br /> Sample Location Sample Type / <br /> Number Description Date Time Water _ Solid No. of ,�Q�,� / / Notes <br /> Corn p. Grab, Alf — COntS. <br /> Y _ o Irl D,u wf s - <br /> �_ zr ��ti 34963 Y _ j 'Y — " y . y <br /> D d N+w Ppuwi ) <br /> : 4964 ) 3 <br /> e mquts a y: C71 <br /> lieceivedy: ( rgnature <br /> Date/Time <br /> !lF(i , ° 574 K�aNc# T•A .T_ C7 <br /> 44 1�; <br /> Relinquished by: (Signature) t� Xor-eived <br /> by: (Signatu f AM <br /> . 1 1DaleJTim <br /> Relinquished by; (Signature) Vq�; by Mobile Laboratory for field analysis; (Signature) <br /> Dateltime <br /> Dispatched by: (Signature) DatelTlma Received for Laboratory by: <br /> Dele/Tlme <br /> Method of Shipment: Laboratory Name <br /> Special instructions: = -----�KJP_— <br /> L��OUCtiN��{ P! �' rte" r rr yr1 i hereby authorize the performance of the above indicated work. <br />