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M M IMI � <br /> 7V <br /> CHAIN OF CU RECORD <br /> Geological' Audit Services , <br /> Inc . <br /> EnYironmenfa/PrOlOSSIona/s Date 6 t�a Page �_ of Z <br /> v -= <br /> UN'w 1803 West March Lane Sui[a A Stockton California 95207 (209)956 0264 <br /> Client G evt,� k C.a,14 Project Manager <br /> (3o& Mqr, Tests Required <br /> Phone Number <br /> ()-oq :jg56 -096 � <br /> Samplers (Signature) Invoice <br /> Prosect Name ,,v.e Q / /K1nit,c >� <br /> GeQAudit � <br /> h Client ❑ <br /> Sample Location Sample Type <br /> Number Description Date TliT1G' Water Solicf Na of / b��4 �,� Notes <br /> Cornp Gran Air Conts � / "r +-- <br /> Ew- I �6��t � q�-1 61755' X - X X <br /> MLV- 7/6 116 <br /> _ — <br /> Mw-1016 Al-a �-I - -� 7 p5� - X `� x X X x �6 - <br /> t <br /> MW-1�/6 �l ay f� 3� 7 X X x X � E 36119 <br /> 3616 <br /> l l <br /> quis e b Signature) He (Siflnalure))/�'�) �l qi <br /> Unto/l lme <br /> chnquished by (Signature) <br /> cawed by (Srgnature) Dato/Tirne <br /> Relinquished by (Srgnalure) Received by Mobile Laboratory for Heid analysis (Signature) <br /> DatelTrme <br /> Dispatched by (Signature) Uala/Truro Received for Loboratory by <br /> Date/Time <br /> Method 01 Shipment <br /> Laboratory Name r <br /> Special instructions - 1, <br /> r �,� r_� I hereby aulhorize the performance of the above Indicated work <br /> 1f 1 rat APPROPRIATE <br /> i��� r�r,;,C-r rt r't PJtIr rr, ti"lf f! pc, <br />