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4 <br /> CHAIN OF CUSTODY&CORD <br /> w=N oloical Audit Services , Inc. Date 3-� -y Page - Z . of �L <br /> 14 � <br /> � � Envmenta Prnfessdana,Es <br /> aft:dmww 1803 West klatch Lane, Suite A- Stockton, California-95207 -1209)956-0264 <br /> tib <br /> r <br /> Client p� R � Project Manager <br /> 00 Tests Required <br /> Phone Number / <br /> Sam lets: (Signature) /�.4�w Invoice: <br /> Project Name / per � 7 <br /> / i� /GeoAudit 0$ <br /> Client ❑ <br /> Sample Location Sample Type <br /> No. or / .% , <br /> Number Description Date Time Water Solid' Notes <br /> Comp, Grab. Alt Conis. / 1� t <br /> 34073 <br /> 1 <br /> 34874 <br /> L-4 <br /> 1 34875 <br /> _ t <br /> MW~C�' yl • �, ' �, rn t r 34876 <br /> .JAH77 , t <br /> 34878_ <br /> JJ <br /> t1 ' <br /> �` �( 34679 <br /> sn <br /> ' <br /> e t ut ad by: t a) cat a y: tg elute <br /> i 7 ..o.. <br /> lin i ed by: (Signal it ) Receivad by: (5 gnature) e <br /> - atelTima <br /> iminquishad by: (Signature) Received b Q�,il a t r { r liald analysis: (Signature) Dale/lime <br /> Nspalchad by: (Sig s�r ) - r .'tWL,_._BatpQ _ Received for Laboratory by: Oatelrime <br /> UCiUU Gt"if��l 'Iter «_.:_ I)Ptd )MAS <br />+lathed of Shipman Lab o tory Name /f <br /> C- <br /> ipacial Instructions: I heraby authorize the perlormanca o! a above indlcatad work. <br />