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rr . r rr r r r r r rr rr r rr r� rr rr r� <br /> CHAIN OF USTONECORD <br /> f/� <br /> . i �f <br /> _-� <br /> Geological Ical AudE Services, Inc . f7_ - <br /> � <br /> EnYirnnmenta/Profess�vnals <br /> Date 3Page L of -7— <br /> 1803 West March Lane, Suite A- Stockton. California-95207-(209)956-0264 <br /> Env <br /> 10 r <br /> Client FAvIL, oProj Manager <br /> F ! Tests Required <br /> .o . aox crca <br /> Phone Number <br /> IQ'7'7%?7 ' �J`,1W 61MR-fV7-7oq Samplers: (Signature) y /Invoice: <br /> 1 W o 5.r e r v1 l-,t i � '� GeoAudit r� <br />' <br /> Project Name 'Y✓1.� � �� ��' � -'/ �. <br /> Client , <br /> Sample Location DSolid Sample Type No. of <br /> Number Description ate Time Water Air Conts �� j ! Notes <br /> comp_ I Grab. , <br /> 3Gb <br /> 1t) y I <br /> n eoign tura eceive y: ( igneture Date/Time <br /> I �� S i uMc�a,>d i,tI T _F r 7�0 <br /> Relinquished by: (Signatur Received by: (Signature) A �I r Date/Time <br /> Relinquished by: (Signature) Received by Mobile Laboratory for lield analysis: (Signature) Date/Time <br /> Dispatched by: (Signature) Datefrime Received for Laboratoryby=y= Date/Time <br /> lih <br /> Method of Shipment: <br /> Labor atoly_karl+e � <br /> Special Instructions: l here'b�yhQaL/ri/z�/e�71/` ,po 101mar,ca of the above indicated work. <br />