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CHAIN OF CUSTOIECORD <br /> Geological Audit Services , Inc . Date Page of—I <br /> ��� En�ironmenta Profess�ona/s <br /> now 1803 West March Lane, Suite A Stockton, California 95207 (209)956 0254 <br /> 140— - <br /> Client 57Aw c1 r,� Project Manager <br /> Sob Mdr Tests Required <br /> Phone Number <br /> (2,oq) q -6-0;6q <br /> Samplers (Signature) Invoice <br /> Project Name A wo rl'5 F-Ra C0V) )``.t' VVL(Au'U'L`°'t h� HAuda <br /> Cl sift ❑ <br /> Sample Location Sample Type No of <br /> - Number Description <br /> Date Time Water <br /> rab Air Solid C nts ,`�� Notes <br /> Comp <br /> 1/[;-16 u-I 11:;Zo <br /> Mw- f�-t5 q <br /> nw-40/1�--16 <br /> Relinquished y (Signature) Receivedy ignalure Date[Trrrte <br /> 2k" 411,t A;� 570 in da I'd T- I 1 -1 I-q4j V1 6 <br /> Relinquished by (Signature) Received by (Signature) Dateffirrle <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) DatelTrrne <br /> Dispatched by (Signature) Date/Time HgCory for Laboratory by �� <br /> J\ , �a ar /LLL"fff <br /> Method of Shipment laboratory Name <br /> W r- 57 <br /> Special Instructions I hereby authorize the performance of the above indicated work <br />