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CHAIN OF CUSTOPRECORC <br /> Geological Audit Services , Inc , Dates-�zg�- P� <br /> �.r <br /> Eny/ronMO17fB/ProlasslOnaIs g 1__ of <br /> SOL 1603 West March Lane Suite A Stockton California 95207 {209}956 0264 <br /> Client Project Manager <br /> 7 e� G trJ lei- Lv Pm u:- / Tests Required <br /> Phone Number <br /> Z�r <br /> Sam rs (Signature) Invoice <br /> Project Name GeoAuda g[ <br /> 1, Client ❑ <br /> Sample Location Sample Type /� <br /> Date Time Water Solid No of ��. <br /> Number Description Notes <br /> Comp Grab Air Conts <br /> I <br /> 00 <br /> Cr'r1 p03d'� 3� 1 <br /> VIA <br /> Yw-7 i Vk4--7 ,v x ( � .@ <br /> e squish Si n Received by (Signature) Date/Time <br /> q 4 CT 6-ZZ,yq�!7 av <br /> Relinquished by (Signature) Recei d (St ature) me patetTi <br /> _L <br /> Relinquished by (Signature) Received obile Lab story for held analysis (Signature) DatelTrme <br /> Dispatched by (Signature) Datel7ime TRocow-edlor Laboratory by DatelTrme <br /> Method of Shipment <br /> Laboratory Name <br /> Special Instructions I hereby authorize the <br /> y performance of the above indicated work <br />