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CHAIN OF CUSTODY RECORD <br /> — =,,,,,�-�►� Gn�eroonmleon�a/ ical Audit Sev � ceSInc .a � % 9 Date 5- 3 ` <br /> Page L of <br /> Now mall 1809 West March Lane. Suite A - Stockton. California -95207 -(209)956-0264 <br /> r <br /> Client Bvn of �o Project Mana <br /> / All 4: Mr. 3 obit U r eu i Sob Mdr7 .gger Tests Required <br /> p 0- Bo l I l ! Phone Number <br /> Samplers: (Signature) i 4�� ; Invoice: <br /> �u� Wt-r� <br /> Project Name �q/�g a�, ' /GeoAudit ❑ <br /> Client <br /> Sample Location Sample Type <br /> Number Description Date Time — Waler Solid No. of �; /i j� Notes <br /> Air Conts. • j' // <br /> w�l/5 -7I-1gy <br /> hVV-115, -31 -TL p <br /> l <br /> nw- j-Is -i{ 'Q`-� <br /> elr q tsh (,Stynat tc I•ucatvud by: (Srgawurr:� <br /> � r Cj�Q t�1 CrQ v"� T. DatelTime <br /> } z� p r- <br /> ♦r i linqurshed by: ( rgt alure) --- liuceived by: (Signature) --��--- <br /> DatelTime <br /> Rehnqursned by: (Signature) Received by Mobile Laboratory for tield analysis: (Signature} <br /> Date/Time <br /> Drspatchea by: (Signature) Date/Time �Recciv¢d for Laboratory by: <br /> Date!rime <br /> Method of Shipment: Laboratory Name <br /> Special Instructions: AC 1 q <br /> I hereby authorize the performance of the above indicated work. <br />