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t) <br /> • CHAIN OF CUSTODY%CORD <br /> _E— - Geo ! oq I c a! Audit Services Inc. Date7- '4-7q Page _2- <br /> 71—_ <br /> EnYironmen�a Pm/essiona�ts <br /> 1803 West March frena, Suite A-Stockton, California-95207-(209)956-0264 <br /> i♦ <br /> r+— <br /> Client Project Manager Tests Required <br /> Phone Number <br /> coq q56 -- 0)-6L4 <br /> Samplers: (Signature) Z' Invoice: <br /> - � GeoAudit Q <br /> Project Name b ewtK � c�i,t ^� A.,� , i Client ❑ <br /> / Uj rya/ / � �. <br /> Sample Location Sample Type No. of ;r' /- <br /> Date Time Water Solid Q7� / Notes <br /> comp, <br /> Number Description crab. Air Conts. <br /> i <br /> e rngws a y: (Signature) kU, <br /> y: slur ! Date/Time <br /> •Iy -q <br /> Relinquished by: (Signature) Rce v ed by: (Signature)' Date/Time <br /> i <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) DatetTime <br /> Dispatched by: (Signature) Date/Time Received lot Laboratory by: Date[Time <br /> Method of Shipment. Labor tory Name <br /> rll✓'���t 5 <br /> Special Instructlons: I hereby authorize the performance of the above Indicated work. <br />