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___ __ �_.-__. ..»:ram n..,... i =a=.... i . ... ..i .y a • .... . .. .. .i 1. .L. n.y -il I <br /> CHAIN OF CUSTODY RECORD <br /> —�� Geological Audit Services , Inc . Date $- o -g�l Pageo+t� <br /> - -��� Enc�iror�men�a Prrafess�a�ls <br /> 1803 West March Lane. Sults A-Stockton. California-95207-(209)956-0264 <br /> a!&C0 I <br /> Client E 1A h Dr m (OLIO-eC f u 11 vi ; Rob Yo u 14 Project Manager Tests Required <br /> Bolo M dr b <br /> 1 C <br /> 50 F l K i,o r v� D rr i v Phone Number <br /> (;Log) <br /> C °r Samplers: (Signature) �(V� Invoice: <br /> Project Name F-frl� 1IOrh <br /> a`1 Client r <br /> Sample Location Sample Type <br /> Number Description Date Time Water Solid No. of q4` Notes - <br /> Comp. Grab. Air Conts. <br /> y �= 50 <br /> 3M�ff <br /> 41.7L o <br /> Mw} --35 <br /> Mw3- �'o 13:3y X 1 X <br /> redinquis a y: u�e ignatstarve y: ignnture J ,- '� <br /> !44'- vl <br /> Relinquished by: (Signature) ei by: {Sign Date17 e <br /> 2- <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis:(Signature) Dateffime <br /> Dispatched by: (Signature) Dale/Time Received for Laboratory by: Dale/Time <br /> Method of Shipment: <br /> Laboratory risme <br /> Special instructions: I hereby authorize the performance of the above Indicated work_ <br /> GOOD C6NDmCP1y4 APFRoffim -w. y. ; .., •,. <br /> .;r AV.F CDIJTP,1rlCI�S <br />