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= = CHAIN OF CUS11bDY RECORC <br /> W� Geological Audit Services , Inc . <br /> Eng/ronmenia/Professiona/s. Date q page ) o� <br /> now 1603 West March Lane, Suite A-Stockton, California-95207-(209)956-0264 <br /> r <br /> Client Y041/1 <br /> o2�O <br /> ) l� k Q v o C OU to Y F C 14 Bo 6 Project Manager <br /> Fob M d o Tests Required <br /> 1 0 5 0 U- ) 1/ k ;,'i v4 Phone Number <br /> 51ncl�,Tc,� C�1c05 ) q56 6-LJ <br /> Z Samplers: (Signature)` �r <br /> Invoice: <br /> Project Name ] p)-K C v u q JvY u <br /> C f GeoAudit <br /> Sample Location Sam leType <br /> Number lint�rr}��1 <br /> h, <br /> Description Date Time Water Solid No, of Notes <br /> Comp. G,ab- Air Conts. <br /> X 0751Clq �-.�� �: <br /> 3 <br /> f ', 7.5 <br /> rte, r„_ <br /> e ingws WIT y: ignature eceivy i slurs r t,i;;,i i,,�... , <br /> "1OTe <br /> v F .y,` 1�laLIggrC 1.! I I Date/Time <br /> �I' l d b ignalure) l <br /> 1 �F oc b ign <br /> I- pate/Time <br /> n uts by' (Signature) �7See by Mo e a retort' for Ilei a lysis: (Signa re) <br /> Daternme <br /> Dispatched b =� <br /> P y: (Signature) Date/Time Received I bo alorb <br /> Y Y: <br /> DatalTlme <br /> Method of Shipment: <br /> Laboratory Name <br /> M G r( <br /> Spedel <br /> I hereby authorize the performance of Iha above Indlcaled work. <br />