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om <br /> CHAIN OF CUSTODYECORD <br /> .�. Geological Audit Services Inc . <br /> ' Date_��^ I q " qLN Page Z <br /> EnYrronmenfa/Profess1ona/s of <br /> now <br /> 1803 West March Lane Surto A Stockton Cnlrtornra 95707 (209)Mr,n7G4 <br /> Client & -P—role ciManager Tests Required <br /> _ Nor`} <br /> I Phone Nunn er <br /> (x-07) q 6 -o.),j <br /> S mple �I nature) /% / �' Invoice <br /> Protect Name /GeoAudd <br /> J ; / Client <br /> Sample Location SarYi e Type No of / <br /> Number Description Date Time Water Solid Notes <br /> Co,np Grnb <br /> Air Cons <br /> t{-` q217 <br /> o <br /> r - , <br /> in urs a alum} <br /> ecerve --•� -- -- — _ _ <br /> ,y qn <br /> urshed b (Signature)/ C) 'I C l trt� <br /> 1rnr�uj <br /> q y Rocmved try (Srtlnnturn) ` pile rimw __ <br /> Fickmquishod by (Signature) Raceived by Mobile Laboralary for hold nnafysrs (Signaturn) <br /> Delell'rme <br /> prspatchod by (Srgn*tlure) Dnln/inualllncnrvod fpr Lnbornloryby <br /> Shipment Delellrmw --- <br /> Melhad of J <br /> Laboratory Name <br /> UOA^ a°x r, fY'Ei�l S OTIfEA M r CQ Im 0 ke j <br /> Spocral instructions <br /> ICOR ' PRESERVATIVES I hnrnby A111110FIZ4 the pwrlormence of the above Indlcelwd worts <br /> HEAD SPADE ADSENT -0000' CONTAINERS_ '64^�V�� <br />