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a..rr.. s ....■ A t�� � ■■■f � t� t� � I♦ tl♦ � I♦ <br /> CHAIN OF CUSTODOECORD <br /> Geological Audit Services , Inc . Date 7­t� Paa . <br /> 9 of - I���' � t� <br /> ��� EnYironmenta/Prolessiona/s ^. <br /> RELr 1803 West March Lane, Suite A Stockton California 95207 (209)956 0264 <br /> low <br /> 167- <br /> ClientProject Manager <br /> t►var�' Fob tlqriy Tests Required <br /> Phone Number <br /> V0V q56 -0--4q <br /> Samplers (Signature) Invoice <br /> N <br /> � <br /> Project Name 57twaut <br /> N 15 � co� ' Z` GeoAudlt <br /> z -�J �a Client ElLt <br /> gSample Location Sample Type d <br /> Number Description Date Time Water Air Solid ContsNo t �q Notes <br /> Comp Grab <br /> n <br /> 510 ;L1 d�ttln n�f2YW ;z~1ST <br /> } � N x <br /> Sp�YT i5 - - i <br /> 50276 -- <br /> 5P.2 -- 15 Iv X <br /> 5 1 /Z —C; 5 m.Jd [ cd.4t oSP <br /> to 5V —Lit <br /> T q � 80272 <br /> e inqurs e y (Signature) ever a ignature t <br /> �+ ll cei ed /Relinquished by 4') > —r <br /> Date/Time <br /> fiehnquish d by (Signature) R c rued by Mobile Labora cry or i Signature) <br /> Date/Time <br /> Dispatched by {Signature) Dale/Time Received for Laboratory by <br /> Date�Time <br /> Method of Shipment Laboratory Name rr <br /> !t^ irli7thr�'r3�iilrll KG (4i� it6 <br /> Special EnsrrucdonsWOO PRESSIV1TBIFT x ,i! _.��_ I hereby authorize the <br /> t it fti y performance of the above indicated work <br /> � , .� <br />