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r r �r r rr rr r rr rr rr rr rr r r rr rr r� <br /> i <br /> CHAIN OF CUSTOD)tCORD <br /> -zii� Geological Audit Services , Inc. Dated ^13-� � Page�� Envirar�men�a Professionals 9 of <br /> � 1803 Wast March Lane. Suite A-Stockton. California-95207-(209)9511-0284 <br /> Client D e b o p' k R-b a J p Project Manager <br /> ✓i t G H e r V r Tests Required <br /> Phone Number / <br /> nature <br /> Sam lers: Si .� <br /> P (Signature) / Invoice: <br /> Project Name V e H b W S u W yn U r ;o e- %LICX WtA'rl /GeoAudit 50 <br /> Client ❑ <br /> Sample Location Sample Type <br /> Number Date Time No. of <br /> Description comWat Water Air Solid Conts. �j" 3 Notes <br /> P - <br /> D- 10 D- 10 Druwt "!o t <br /> qq <br /> Drumf1( �( � 3G �8Jc <br /> t <br /> a nqul ( Ign tura - I <br /> Received y: I pature <br /> etin uished b ?I-Rale l 1 l7 ( j� <br /> q y: (Signature) Received by: (Signature) <br /> A L DatelTime <br /> Relinquished by: (Signature) Received by Mobile Laboralory for livid analysis: (Signature) <br /> DaterTime <br /> Dispatched by: (Signature) DatelTima Received for Laboratory by: <br /> Datefrime <br /> Method of Shipment: Laboratory Name <br /> Special Instructions: <br /> M ` eel X4p be[1 <br /> I hereby authorize the perlormance of the above Indicalad work. <br /> UAAOI in L" LCM <br /> HEAD SPACE ABSENT r/ CONTAINERS <br />