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AIN OF CUSTODY I OW <br /> `�- Geological Audit Services , Inc . Date z- Ig-qq page <br /> &m1ron1niS Prof- sion.?ls 9 of ? <br /> 1809 West March Lane, Suite A Stockton, California 95207 (209)956 0264 <br /> 1♦' <br /> Client 4 ut v Project Manager <br /> F4, Mu k t Tests Required <br /> Phone Number <br /> .coq 9Y6-- 0,�6 `4 <br /> Samplers (Signature) Invoice <br /> Project Name (5e W e I1,9 � � 0 GeoAudit <br /> Client <br /> Sample LocationSampleType <br /> Number Description Date Time Water7 e Sohd No of Notes <br /> Comp Grab Air Con / /'�j / f <br /> 0. sr <br /> IV W-9 <br /> vw-7A/� Iq -qt-I r6 ' oc� k I <br /> Mvv- I h �� iq-qq 15N v x <br /> w- qA 14 -7q 16 ' 0 <br /> e inquis e y (Signature) Receivedy ig lure <br /> Date/Time <br /> U �rL -qLJ <br /> Relinquished by (Srgnature) Rac rved b (Si nature (.'• <br /> Y g ) OatelTlme <br /> Relinquished by (Signature) Received by Mobile Laboratory for herd analysis (Signature) DatetTime <br /> Dispatched by (Signature) Date/Time Received for Laboratory by <br /> Dale/Time <br /> Method of Shipment Laboratory Name <br /> A i e- To i(, <br /> Special Instructions I hereby authorize the perlormance of the above Indicated worst <br />