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CHAIN OF CUSTODY RECORD <br /> Geological Audit Services , <br /> Inc . <br /> "`�" EnYimnmenra/Prolessianals da1e 11 - 17-59 Page of <br /> 1609 Weal March Lane Suite A Stockton CelRornrn 95207 (209)'956 OAA <br /> r <br /> ClientProject Manager <br /> QC� Mq r� Tests Required <br /> Phone Number <br /> (�,OY) qy 6 - 02�� <br /> S <br /> Samplers (Signature) �� invoice: <br /> Project Name (2 GeoAudA <br /> o-h. awd <br /> Sample Location Sample Type No Of �• <br /> Number Description Date Time Water Air Solid Cont$ �� Notes <br /> comp GRett <br /> i <br /> P S 11-16gLj X R )f 010 p <br /> e,nqus s y ,gnatute acI[o+v 1i ygn u <br /> + <br /> Relinquished by (Signature) nocowad by (Signature) DawmCne { <br /> el,nqurahed by (Stgnatute) noco,vod by Moble Labo+ntoty los bold anotys,s (S+gnaturo) QRIs{Tln1e <br /> Dispatched by (Signature) Dalo/Tima nocoivod for Laboralory by Dateirnme <br /> Method of Shipment Labotatory Name <br /> I"a� Cott r,-1^ C?eo Ctl-li <br /> Spec,al Instructions I hereby authorize the parlortnanee of the above indleated www <br /> P <br />