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CHAIN OF CUSTOD CORD <br /> Geological Audit Services , Inc. Date � �7-q+- page ���[„ <br /> fmka m Aro&=Aw.?& <br /> �M <br /> �� 1803 Wast March Lans, Suite A-Stockton,California-95247-(209)958-Q2ti4 �o �[� —O� <br /> � Q <br /> CPro Manager <br /> t"ient �e w e � t �..a>R c� jest Man er <br /> Rob mar )i\ Tests'Required <br /> Phbne Number <br /> ?-05 4 5'�-- 02-61 <br /> Samplers. (Signature) Invoice: <br /> Project Name G p,w 2)4 4 m nkf%i AA o+, n GeoAUdit <br /> Client p <br /> SamP le Location Sample Type �> <br /> Number Description Date Time Water Solid No. of Notes <br /> p Comp. Grab. Air ConiS q� / % f / / <br /> Kw-ql;'r Cru 15`4' <br /> `4' Xki� <br /> Relinquished y. (Usynalure i e ignatur i <br /> C � DatefTlme <br /> Relinquished by: (Signature) Received by: (Signd. ture) r 2- 7 o s_ 10 <br /> j Date Ime <br /> Relinquished by: (Signalure) Received by Mobile Laboratory for field analysis:(Signature) Dale/Time <br /> Dispatched by: (Signature) DatelTima Received for Laboratory by: DateMme <br /> Method of Shipment: Laboratory Name <br /> �azotl�� l � ;ca1 <br /> Special Instructions: I hereby authcrdze the performance of the above Indicated work. <br />