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CHAIN OF CUSAY RECORD <br /> 4A . Geological Audit Services , Inc . oats z -���qgl Page z Ern�ironmenta Professionals <br /> 1803 West March Lane, Suite A-Stockton, California-95207-(209)956.0284 <br /> D� <br /> r <br /> client <br /> Project Manager Tests Required <br /> {��wtK! �.Q,^ � <br /> p +relc �P� Bole Mari <br /> Phone Number <br /> (;l.09 ) g56_ 0,;L6`-1 <br /> Samplers: (Signature) j fl /Invoice: <br /> L, � / <br /> Project Name b e wA `�P � knt<Xa4 ., GeoAudit�` Client <br /> Sample Location Sample Type No of °�' i�/ , J <br /> Number Description Date Time Water Air Solid Conts. �� i /f ;' j Notes <br /> Comp. Grab. <br /> 14vw - 7 'Y\ 1 x <br /> e rnquis a by: ( jgnalure eceive y: ignature DatelTime <br /> Relinquished by: (Signature) Received by: (Signature) Date/Time <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) Date/Time <br /> Dispatched by: (Signature) DaterTime Received for Laboratory by: Date/Time <br /> Method of Shipment: Laboratory Name <br /> Al I, TO i C <br /> Special Instructions: 1 hereby authorize the performance of the above indicated work <br />