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CHAIN OF CUSTODY ORD <br /> e010 iCal Audit Seryices , Inc . Date g- page of 2- <br /> �7 Ern�rr�nmc�ta7Prolt�ss�lw�a,�s <br /> 1805 West March Lana, Suite A-Stockton,California-95207 (209)958-0284 <br /> Client G w (� ! �,a'4 a s V p Project Manager Tests Required <br /> Foto Mar � ed <br /> Phone Number <br /> /I <br /> -(2-0q ) 1 -6 - o�G <br /> Samplers (Signature) i <br /> �lnvoice. <br /> ProjectName (j w l4t �l�t +ti ''YI ��„/ �, Q ��,/ /Ge°Auditi` / / Client ❑ <br /> Sample Location Sample Type ,tea' <br /> Number Description Date Time Water Solid No of h-�� �`// Notes <br /> Comp Grab Air ContS <br /> Mme- I fl f 3-; $11-1 ;i 0 <br /> xI K <br /> MW-11 A X3--M -7� I 'i0 X <br /> -x X X tt <br /> Yw- IAI -; Q -q4 qo X l x u <br /> VW -4 A 3-A-gil 7y l X rt <br /> All <br /> �W- 6 At/ 3- ct i x=30 <br /> Relinquished y ignature eceive y ignatura e L <br /> �(�,�� alelTime <br /> Relrngwshed by (Signature) Received by (Signature) <br /> DalerTime <br /> Relinquished by (Signature] Received by Mobile Laboratory for held analysis (Signature) <br /> Dale/Time <br /> Dispatched by (Signature) Date/Time He red r �borat <br /> ate/Time <br /> 17 <br /> 3d g 1 r•I <br /> Method o!Shipment �4v. �� <br /> , Labo ory Name <br /> Special Instructions Air TOY, C5 <br /> i I hereby authorize the performance of the above indicated work <br /> v� A nAA A 44 A. <br /> YyU4 <br />