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CHAIN OF CUSTODY REGO D <br /> Geological Audit Services, Inc. �� �� / ,� <br /> E�rj Pr , rafs Date Page -r of <br /> 1803 West March Lana. Suite A.Stockton. Calilo9nia -95207.f209)958.0284 <br /> a. <br /> Client Project Manager <br /> Tests Required <br /> Phone Number / r <br /> 4- <br /> Samolers: (Signature) 1 ,f � !invoice <br /> : <br /> Project Name � ��� ��d�� �l�a �� _ � <br /> GeoAudk <br /> Chem E] <br /> Sample Location Sample Type J <br /> Date Time No.of <br /> Number Description atv Solkt <br /> comp. arab. Alt Conts. Notes <br /> / <br /> �>r )rr- Pb t <br /> 5- 3 <br /> ------------------ <br /> Re Lr ' <br /> tib <br /> . eca va y: gnature /, <br /> OatalTime <br /> Ra n uishe b y: (Signature nature <br /> 4 9 <br /> Racei d b .{S1gRature <br /> R eiv obLa 94110 for I analysis:(Signature SX*0_ <br /> OatelTime <br /> Qispat0hed by: (Signature) Date/Time s aivad for La or�alory <br /> 71 Oalefl'ime <br /> Moth oOaf Shipment: <br /> Laboratory rrNams <br /> Spacial Instructions; G <br /> 1 hereby euthoriz the erfarnrance o the above indicated work. <br /> -..�w.w.........,...u�.awe+o:a..e,a,..._..sea,+...,w.»».,..,_.s.r-.... ................. :.-..:w...r. -,,.w.._..._�_..-.......,......_..... �. .a,.- <br />