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CHAIN OF CUSTODY RECORD . <br /> —E - Geological Audit Services , Inc . Dale I1�17-q Pae <br /> Envvironinenla Pro/essiona/s g of "- <br /> 1007 West March Lena, Suite A- Stockton. California-95207 -(209) 950.0204 <br /> NNW <br /> Client G p ]� Project Manager Tests Required <br /> Boll Mqr). <br /> Phone Number <br /> (coq ) 95 6- oz6H <br /> Samplers: (Signature) e1i Invoice: <br /> Project Name D t w 2I/,e ^, 4j� GeoAud'rt <br /> ah` Client Q <br /> Sample Location Sample Type No. of Z` <br /> Number Descri tion Date Time Water Solid Q Notes <br /> p camp. crnlr. Air Conts. <br /> F5- - 166 4=5U X I <br /> P 5 - y3A 10. 10 X X — <br /> P LI - 2oA 11- 15-41 <br /> P <br /> ee t�rlinquishe y: (Signature) [to c rvo y: alma alelli <br /> ��➢1 k )2�24,6,fes ZC�C � �a'J� 51a oda Nd t.rT 7- / <br /> Relinquished by: (Signature) rfediiivorl by: (Signature) Date/time <br /> Relinquished by: (Signature) nocowod by Mobilo Laboratory lot field analysis: (Signature) Dalerrime <br /> Dispatched by: (Signature) [).tell imn Received for Laboratory by: Date/Time <br /> Method o11--f Shipment: Laboratory Name <br /> Lcf : cou)-ifr vdG ClnA�vt <br /> Special Instructions: I hereby nulhorize the performance of the above indicated work. <br />