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Geological CHAIN OF CUSTO ECORD <br /> olo ical Audit Services4kc . <br /> = i Date 2'j Page U(7 <br /> ��� En�ironrr�enla/Professiona/s <br /> t NLAW 1803 West March Lane Suite A Stockton California 95207 (209)956 0264 <br /> 3 <br /> Client j 5 ! w d T Project Manager Tests Required <br /> Fob Mari <br /> Phone Number <br /> bLvcf) g56-0Jb '� ,r <br /> Samplers (Signature) Invoice <br /> Project Name 5r�W�i�r s .eqCQ1 GeoAudit <br /> Client ❑ <br /> Sample Location Sample Type <br /> Number Description Date Time comWat Grab Air Solid ContsNo tNotes <br /> ��� <br /> IV <br /> 10 -- 00 50270 <br /> r <br /> 1.0m(C)IN <br /> -17 <br /> Relinquished y (Signature) Recer ad brgnature DetelTrme <br /> Rebnq fished by (Sigh twe Velcei)doby ( nature✓�{� ) Date/Time <br /> Relinquished by (Signature) ile Laboratory for field analysis (Signa Date/Time <br /> Dispatched by (Signature) Date/TimeReceived for laboratory by <br /> Date/Time <br /> Method of Shipment 771Laboratory Name <br /> l^ ;r—t^trTTn � <br /> t r rvu�'r I` it•1 <br /> Special Instructions ���rn n���I hereby authorize the performance of the above indicated work <br /> FIRr !' <br />