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CHAFE OF CUSTODY RECORD' <br /> Geological Audit Services , Inc . Date Page ot r <br /> Mfr, EnvrranmenfalProtesslonals 9�- <br /> trwrr 1009 West March Lane Suite A-Stockton, California 95207-(209) 956 0264 <br /> Client Z Project Manages Tests Required <br /> l�/jst�7- <br /> Phone Number <br /> Sam rs {Signature} { Invoice. <br /> Project Name / GeMudd E] <br /> 6e7A U�� Client ❑ <br /> Sa pie Ype , <br /> Sample Location Date Time Water - - Solid No of � Notes <br /> Number Descnptton -- - Air Cants <br /> IM <br /> l. ' <br /> coma Grah t i <br /> _ - ►L 7-9 -- _- - - - r� <br /> �E�- l� A4 -!� _ 3.�t� Z � �2��� <br /> _ —J <br /> i <br /> i <br /> i� <br /> r uro+ad by e Tiocoive , >y ignL,Malur u� _ Dalalrlme <br /> mqu+shad by (S+gnMum) 1locolvod by (Sigonluro) F �/(� fl•l•f;l • <br /> -T 9`f S�' <br /> Relinquished by (Signaluro) � rtocorvod by Mobile Lahocalory for bald analysr; (5lgnalura) 14 t5l"' Dal• Ima <br /> Dispatched by (Signature) Daloll+mo Ileceivod for Laboratory by DatalSlm• <br /> Method of Shipment Laboratory,Name <br /> �G' LY 77Z <br /> Spec+at Inskuct+ons C � PRESERVATIVE r_ t hereby euthocixe the p•rlarmance of the above Indlaal•d wrack <br /> ICE1T _T - <br /> + �QROPRI�ZE— <br /> EA0 5PACE 0t11AINE9S_�� <br />