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CHAIWOF CUSTODY RECORD <br /> Geological Audit. -Services , . Inc . �� q e j <br /> of y <br /> - =�� En�irnnmenla Pro/esSianals _ Date Pa9 - , <br /> 1803 west March-Lane. Suite A• Stockton. California-95207 -(209)456-07.GA <br /> � ,i <br /> r <br /> Client Pro- t Man ger <br /> k/�44 L Tests Required <br /> Phone Nu r U <br /> � G 62-G--1 <br /> Sam rs: (Signature) Invoice: <br /> Proika Name GeoAuditx— <br /> a Client ❑ , <br /> S mple Type <br /> (temple Location Date Time No. of <br /> +member Description Water Solid <br /> f, Notes <br /> p comp, Grab, Air Cants. <br /> PI 'VV <br />,V2 - All rT III <br /> z� <br /> trr �s y: na Receivedy: (Signature) Date/Time ' <br /> !/ <br /> nquish by: (Signature) Rocoivod by: (Signa Da <br /> t <br /> e/Time <br /> Retinquishad by: (Signature) flocoiveed by Mobile Laboratory for Boldr Eysis:(Signafura) �D telTime I <br /> Dispatched by: (Signature) — Dalai f irrlC —-- fltlegived Ing L+ebur clary 6y-- <br /> Method of Shipment: r 1.nr�jorry Nnm <br /> [ <br /> .Special Instructions: /] f hereby nutho zo the performance of the above indicated work.' <br />