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r r �r tr rr ar r ri rr r� ■r rr r r rr r� rr <br /> ' �,rinlly yr vt�.� f v If=vertu <br /> G.eoloAf <br /> icaI Audit Services nc . <br /> Date -Z& -43 Page Z.- <br /> - —�_~ Ern�i�anme�ta P/t7fr9s3AArla�s <br /> 1809 West March Lane, Suits A-Stockton, California-95207-(204)956-0264 <br /> Client � � � _ �.n� ProjecttManager Tuts Required <br /> Phone Number <br /> ZP 9 125&-e Z6 <br /> S piers: (Signature) / Invoice: <br /> .�1 /eoAudk <br /> Project Name f �J� Y /' / /' Client ❑ <br /> O <br /> X � / <br /> ,Samj <br /> Sample Evocation Date Time Wa eP1e Type Solid No. of �! / ;�r�% Notes <br /> Number Description Cp. Grab. Air Conts. <br /> om �•� �.' ` / <br /> 4b <br /> ! e Daterrime <br /> Relinquished by: (signature) Received by: (Signature) Daterrime <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) Date/Time <br /> i Dispatched by: (Signature) Daterrime Received for Laboratory by: Datelrime <br /> Method of Shipment: Laboratory Na e <br /> . VOAS I o&G �S OTS <br /> Special instructions: GOOD CONDITION I hereby a riza t performance of the above indicated work. <br /> PROPRIATE <br />