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Geological Audit HAIN OF CUSTODY REC RD <br /> dot Services , Inc.9ncPae � <br /> Of <br /> �- <br /> EnYraventa7Pro/bssana�. g <br /> � <br /> aw 1603 West March Lane, Suite A-Stockton,California-95207.(209)(2l]9)936-0264 <br /> nt <br /> Project Manager <br /> Az; ;400 L Tests Required <br /> Phone Number <br /> Samplers (Signature) Invoice- <br /> ject Name �e�� , GeoAudrt <br /> Client Q <br /> ample Location Sample Type / <br /> umber Description Date Time Water Air Solid No Con f Notes <br /> / <br /> Comp Grab <br /> ' <br /> 73' 9 <br /> x <br /> J r <br /> '� � <br /> —44011 <br /> IJ <br /> I <br /> is e nignatwure) <br /> L-T <br /> eceiv -gnature <br /> �, Oata�me <br /> bA by <br /> �Slgna <br /> I oat* me <br /> m hed by (Signature) <br /> sceived by Mobile Laboratory for held analysis (Signature) Oate�me <br /> tched by (S�gnatura) Oats/Time -7 Recewed for Laboratory byOatelme <br /> d of Shipment: <br /> -qwi A2OTHEp^ Laboratory ame <br /> al Instructions. t/i�[lrlli <br /> GOODPt9ii ®[lJ( ®iDC1ATt I hereby auth rlZe the performance of the above indicated work <br /> L4ii� �5, I�RiRI� POPP <br />