Laserfiche WebLink
CHAIN OF CUSTODY RECORD <br /> E _ Geological Audit Services , Inc . Date j1 - 17f Page 3 D, <br /> Enwtow7enta Prolessiona/s <br /> 1003 West March Lana. Suit.A - Stockton. Culilornin .95207 (109) 950 01114 <br /> Now <br /> Client j� M Project Manager Tests Required <br /> Dol Marr <br /> Phone Number <br /> Samplers: (Signature) �� Invoice: <br /> �1 N✓1 c�� Gn Q� GeoAudit <br /> >I Project Name (� e C h e y Client ❑ <br /> o- <br /> Sample Location Sample Type Solid No. of Notes <br /> Number Description Date Time Water Air Conts. <br /> P Comp. crab. <br /> P 5 -3;-A ti-16gL 0 L D r <br /> X I f} 0 L 0 : <br /> P 0 . <br /> F3 <br /> Q3 <br /> a mquu a y; I, rgnelure ecory Y: Un ur 4YU� I `l n y— / D U/rlm <br /> a <br /> Relinquished b (Signature) no cervod b (Signature) DaURlme <br /> q Y ( g Y <br /> J <br /> Relinquished by: (Signature) nocoivod by Mobilo Laboratory for liold analysis: (Signnturo) Dale/Tima <br /> Dispatched by: (Signature) Dato/Time Ilecoivod for Laboratory by: DateMme <br /> Method of Shipment: Laboratory Name <br /> 1-ab Court-r Cjeo Clnetn <br /> Special Instructions: I hereby authorize the performance of the above Indicated W0116 . <br /> y <br />