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.■..I. taw a �■■� � ■� � � � i• � � � <br /> Geolog ical Audit Services , Inc . CHAIN OF CUSTODY R ORD <br /> Fnv11vnmenta/Prof&ss1ona/s Date M t 7-`� Page �T of ! <br /> v e <br /> _� l003 Wael March Lena Suite A 5locklon Cabfornin 05207 (109) O.,G UJt,4 <br /> r <br /> Client G L- P Project Manager Tests Required <br /> Boll mor) <br /> Phone Number <br /> ) q 5 6- a).6� <br /> Samplers (Signature) Invoice <br /> Project Name C>.�w t?it, 7ti, "^'����,- -�-�", �� GeoAudit <br /> ah Client ❑ <br /> Sample Location Sample Type <br /> Number Description Date Time Water Solid Coon of <br /> �Q Notes <br /> Air comp Ginb / <br /> x { <br /> r <br /> 5 - 13 A <br /> PwPGI - 7uA A, - <br /> - z s6e inquis e y ignature atuiu� Gc 7 et./Tr <br /> Relinquished by (Signature) o oiva (SignaIura) i <br /> Date/Time t� <br /> Relinquished by (Signature) Received by Mobile Laboratory for hold nnilysis (Signature) ` <br /> DalefTrme <br /> Dispatched by (Signature) Oate/1 11710 Itecorvod for L,boratury by `) <br /> DetelTime i <br /> Method of Shipment Laboratorly(Noma <br /> p <br /> Special Instructions <br /> I horoby nuthoriio the porformanco of the above indicated work <br />