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.• CHAIN OF CUSTOIWRECORD <br /> Geological Audit Services , Inc . owe 2-xg�q�- page <br /> Ei7Yr1win,wta Prnfessb172& of <br /> =w 8-0 <br /> 1803 West March Lane, Suite A- Stockton, California-95207-(209)95264 <br /> f♦ <br /> Client (�ew� (�� a e�.p 10 m�K Project Manager <br /> R06 M q V1 1 Tuts Required <br /> Phone Number <br /> t;,oq ) 156 -02641 <br /> nature <br /> Samplers: Si D <br /> P (Signature) Invoice: <br /> Project Name GeoAudit <br /> i Client ❑ <br /> Sample Location Sample Type ' /o' /' <br /> Date Time Nof <br /> Number Description Water Solid ��h,,` / • Notes <br /> Comp. Grab. Air Conts. <br /> , <br /> Mw_ <br /> E wW-- l V-qLi ► ���0 X <br /> Relinquished by: (Signature) Avey-: gnature iM_ DatelTima <br /> I�/�.0 J x'�g,qq/i5- �.R � shed by: (S' nature) gnb urs) <br /> i Date/Ti e <br /> Relinquished by: (Signature) Received by ile La oratory for field analysis: (Signature) Dat lTime <br /> Dispatched by: (Signature) DatetTime Received for Laborato ryb by; DatelTime <br /> Method of Shipment: Laboratory Name <br /> GAa AwtI �icct <br /> Special Instructions: I hereby authorize the performance of the above indicated work. <br />