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i i » i � i i♦ i � i i � i♦ � ff� i i � 1� <br /> -4C' <br /> CHAIN OF CUSTODY RECORD <br /> -;Ei� Geological Audit Services , Inc . <br /> _ EnVimnmenlal Professionals Date -2 '13'Q y Page z of z <br /> 4� <br /> sAW 1803 Wee1 March Lana, Suite A Stockton Celilornfe 95207 (209)956 0264 <br /> r <br /> Client <br /> jj T i, Project Manager <br /> V 40 b, MarTX Tests Required <br /> Phone Number <br /> 0-00 o)- 61.1 <br /> Samplers (Signature) Invoice <br /> Project Name 5 f o-1/,Ir Y 5 ,/".e;t,.. �'�it,t /t•c ,t, •� GeoAudit <br /> Client p <br /> Sample Location Sample Type ah <br /> NumberDescnptton Date Time Water Air Solid N of q� — — I Notes <br /> Comp Grab I — - - t <br /> F - Fjcw, II si5 w -16-95 10: 19 x 1 x 50270 , <br /> � 2=q0 1 50271 t <br /> ! <br /> I <br /> e 1nquts e y (Signature) ec ive <br /> � <br /> y tgnatura <br /> a -. Date/Time <br /> �t c 41l r fl I . _ <br /> Rehnpy�tshed by (Signature) ` �� cery ' by (Si etura) � Dale/Time <br /> ff',, � 7 <br /> li <br /> Relinquished by ( ?nal'ra) 05 - <br /> fie et d by Mobile laboratory for field analysts (Signature) Date/Time <br /> Dispatched by (Signature) Daleltime Ilacorvad for Laborato►y by <br /> Date/Time <br /> Method of Shipment <br /> Laboratory Nam, <br /> Special Instructions rr"rIT0 a <br /> f C �1, t 7 , ,�rn <br /> �1)�rn� p vt�h„ I hereby authorize the performance of the above Indicated work <br /> �—i <br /> r Y s+M( _.,5....,�HERDSPACEACONN <br /> I: � <br />