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w <br /> CHAIN OF CUSTODY CORD <br /> 7- IiNGeological Audit Services , Inc. <br /> Date 7--2 Page -� <br /> �7 Ermror�menta Prof�ssicr FIs <br /> 180 West March Lane Suite A- Stockton California 95207 (209)956-0264 <br /> 14 r <br /> Client L ��� Project Manager Tests Required <br /> Phone Number <br /> 2-01 J56,02-& <br /> Samplers (Signature) / , /Invoice <br /> Project Name �' �� l ��j�� , ,/ ,� i GeoAuditj�a <br /> ff Client ❑ <br /> Sample Location Sample Type No of <br /> Number Descnptlon Date Time Water Sohd Notes <br /> Comp Grab Air Conts <br /> P 2- f�J �( " yi LSfc�i. 3 2�-��� g-�o ( f <br /> P-2--' l Nut <br /> 2- 3D ' Ic ) 9 30 <br /> r <br /> q0 dwil 1K x\ <br /> I i <br /> R,7h by ( i natur aces o y i ure} /� DatelTime <br /> Relinquished by (Signature) Received by (Signature) Dale/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date[Time <br /> Dispatched by (Signature) DatelTime Received for Laboratory by <br /> DatelTime <br /> Method of Shipment Laboratory Name <br /> 5peval nsu+.,..,ons I beret y n iso =,J1c,t-)d work <br /> I <br />