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CHAIN OF CUSTODY RECORD <br /> Geological Audit Services , Inc Date � �-�t-� Page _� o, Z. <br /> Enr',ronmenta Prn/esslona/s <br /> r <br /> Mw <br /> � 1607 Weal March Lane Suite A Stockton California 05107 (109)9;, Q1t,1 <br /> s <br /> Stent �� �Y� hr I Protect Manager <br /> 7 Ful, Tests Required _ <br /> Phone Number <br /> �r1)q ) q 5S-cl};�6 <br /> Samplers (Signature) Invoice <br /> rolect -b C (�i e'fo r�} ?tet C oln ��v v�� n���i` ��h GeoAudit �J <br /> Client ❑ <br /> ample Location Sample Type No <br /> Number Description Date Time Water — Air Salad Contosl � /� Notes <br /> Camp Or tL <br /> Y z <br />'MVV-7,/IJ -q� 131 ss _ -- -- --- 17 <br /> VvV <br /> 3j1 � <br /> Sal ,- ��-q�l _— yr7 - -- -Y - -- - Z -- — <br /> Mw <br /> e tnqurs e y rgnalure acarvu ,y ugn.atu <br /> 51d.tdq r �•�t�� Datel7rme <br /> rz lq• 3 <br /> Relinquished by (Signature) Ho rued by (Sig urcf DatefTrme <br /> Relinquished by (Signature) Received by Mobilc Laboratory for ItLid 11111y,,i, (S gnatu(L) Date[T'rme <br /> Dispatched by (Signature) Datoll rmo llecowod for L tbot-tlory by Date/Ttme <br /> Method of Shipment Labornlory Name <br /> Special instructions - I hornby nuthonro tho poftormance of the above indicated work <br /> � I <br /> tl.■ �� Ifif t� � .■... � ilii ��.�t tit i � � � � a,� <br />