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1Jk <br /> CODY RECfJR <br /> CHAIN OF CU <br /> Geological Audit Services , Inc . Date - ��wq� Page of Z <br /> ...�_ En�i�onmenta/Professionals <br /> r� 1803 West March Lane, Suite A -Stockton, California-95207 - (209)956-0264 <br /> low <br /> Project Manager Tests Required <br /> Client Dk�o,,rt k � pad e 5019 Merl \, <br /> Phone Number <br /> (,;-off ) 950 - 0,26�-k <br /> invoice: <br /> Samplers: (Signature) G� <br /> � GeaAudit � <br /> Project Name 'Y f ow Su � ma pi vt F �kA4,,�, 4"c 2kI Client [ <br /> Sample Type <br /> No. of <br /> Sample Location �b Solid <br /> Number Description f Notes <br /> Date Time WateGrAir Cants. <br /> comp. <br /> p . _ 110 3.4965 - <br /> p - �p <br /> 4C <br /> ` �c <br /> z -'p DatelTime <br /> Relinquished by: (Signature) —{( D u Received by: (Signature) `J�d yd Q re� 7-A.T_ <br /> 3-;1-Qq 15=3 <br /> D e <br /> —Relinquished by: (signature) �? _ Recei : (Signature) -/r�- <br /> �r t� GC1 Da elTime <br /> Relinquished by: (Signature) qmrn Received by Mobile Laboratory for field analysis: (Signature) <br /> W73 <br /> Dispatched by: (Signature) <br /> Date/Time Received for Laboratory by: Date/Time <br /> Laboratory Name <br /> Method of Shipment: r C <br /> I hereby authorize the performance of the above indicated work- <br /> Special instructions: 1� y'rrlFryjl _ <br /> fiEM SPAM ABM- CONTAIM <br />