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CHAIN OF CUSTODY RECORD <br /> _ Geological Audit Services , Inc . Date H-77-gq e t <br /> EnY/ronmenlalProleSSlOna/s 9 of <br /> 1803 West March Lane Suite A Stockton California 95207 (209)955 4254 <br /> Client <br /> Hill i p S Project Manager <br /> Bob mcwly Tests Required <br /> Phone Number j <br /> (?-oq) R6'1- 0; � <br /> Samplers (Signature) �� Invoice <br /> Project N eoAudn E L-�c.l�s�otic� ��d C�6� 7�'f'`�l.' �1/L(-c,�u'�-°'er � � <br /> ��. Client ❑ <br /> Sample Location Sample Type of <br /> No / <br /> Number Description Date Time Water Solid l Notes <br /> cam,. cr,b I Air Conts <br /> .�- M V,-7, -vape,_ <br /> efinquished by (Signature) l;e c d by (Si al r - -- ---- I <br /> 5�a hCt4 t"C� h r1 DatelTime <br /> Relinquished by Signature) ceived by gnature) Date/Time <br /> Relinquished by (signature) Received by Mobile Laboratory lot field analysis (Signature) <br /> DatelTtme <br /> Dispatched by (Signature) Date/Timo Rocorved for Laboratory by Date/Time <br /> Method of Shipment <br /> Laboratory Name <br /> wcsr <br /> special instructions I hereby authorize the peflormance of the above Indicated wiouk <br />