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IF7*. CHAIN OF CUSTOECORD <br /> =-! Geological Audit Services , Inc. Date <br /> Page <br /> �� EnWIVnmenla Professionals --� <br /> ffwAW 1803 West March Lane, Suite A-Stockton, California-95207-(209)956-0264 <br /> Client L tNQ Project Manager <br /> c o u t3 M ,� Tests Required <br /> Phone Number <br /> �o J156- 0),6 -1 / <br /> Samplers: (Signature) ` ;/Invoice: <br /> Project Name ���el�� � i�ji wj,� �y / � /�.� / GeoAudit <br /> Client ❑ <br /> Sample Type ,� , <br /> Sample Location \ i , <br /> Date Time /. h, <br /> Water Solid No. of ho . Notes <br /> j Number Description <br /> Comp. Air C;ontS. <br /> F3�7g <br /> Relinquished by: (Signature) terve y: (So �} ate lTime <br /> 2 k7,(� <br /> C <br /> Relinquished by: (Signature) Received by: (Signature) j Date/Time <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) Date(Time <br /> Dispatched by: (Signature) <br /> Date/Time Received for Laboratory by: Date/time <br /> Method of Shipment: Laboratory Name <br /> (baa H�uI y�c <br /> Special Instructions: I hereby authorize the performance of the above indicated work. <br />