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� l• � !• � � � � � �■ f� �� i*r ti>� fid tttttttttf� wllr <br /> b CHAIN OF CAODY RECOR <br /> --�- <br /> Geological Audit Services , Inc . Date_-�4``�4� Pa e �_ <br /> wronmenta Professionals 9 of <br /> now 1609 West March Lane Suite A- Stockton California 95207 (209)SSG 0264 <br /> 14 r <br /> Client 5 r Project Man age/r Tests Required <br /> bee I 43P <br /> Prone Number <br /> Zit Samplers (Signature)(Signature) invoice <br /> Project Name � / GeoAudn JE <br /> S—,,-9l4 T5 5e---hcotJ J Client <br /> Sample Location Sample Type , 1 <br /> Date Time Water Solid No of <br /> Number Description n� Notes <br /> Air Conts r( <br /> Comp Grab <br /> Y4 d 4� � <br /> / v <br /> 4 <br /> M X 4 <br /> M w;� G•��- u—3 2 r v X <br /> 1Z a� <br /> Helinqusshed by ignaluroReceivedby ( ignnture)s <br /> t/ DDyels Time <br /> Re <br /> ` l�- <br /> squished by (Signature) 4eceiveP4 7A7 tali ey M <br /> I C <br /> Reftnqu Led by ( rgn ure) Received by Mobile Laboratory for field analysis (Signature) Datefrima <br /> Dispatched by (Signature) DalolTrmo ttoceived lar Laboratory by Daterrime <br /> Method of Shipment Laboratory Name <br /> Special Instructions — -- <br /> I hereby authorize the performance of the above Indicated—vac k <br /> u"6 T6.r r3 30 <br />