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r J J -JAC JI <br /> CHAIN OF CUSTODY RECORD <br /> -= Geological Audit Services , Inc. Date �- 3 - g3 Page --�— of <br /> �, Ei��irnnmenta ProfessronaCs <br /> YANLaI 1803 West March Lane, Suite A- Stockton, California-93207-(209)938-0284 <br /> Now <br /> a. <br /> Client + co V, F-1, Project Manager —� <br /> � - Tests Required <br /> Phone Number j <br /> • Samplers:ers (Signature) �( <br /> - P ( 9 ) � Invoice <br /> 1- l: I /•tom . <br /> Project Name I r! 1�Q. vatc� Bo ` ( �.(r % 1p <br /> / GeoAudit <br /> y Client �u! <br /> a "• `' % <br /> Sample Location Sample Type ,� �,.�,�• �% ---Water Solid No. --- <br /> Number Description Date Time 0 ; �. Notes <br /> Comp. cr,b. Air Conts.s. � � ��, <br /> / <br /> 5 P S c i I'.1 e �✓ 1 C D ,j �( -- <br /> a mqurs a y: ignature ecalve y: i ure — <br /> �` Date/Time �y <br /> �) T j y :�3 <br /> lelinquished by: (Signature) R v.d by: (Signa,. I Date/Time <br /> elinquished by: (Signature) Received b Mobile-Laboratory for field analysis: (Signature) r <br /> Y rY Y ( 9 ) Oate/ Ime <br /> Ispatched by: (Signature) Date[Time Received for Laboratory by: Date/Time <br /> 'athod of Shipment: Laboratory Name <br /> � T <br /> pecial Instructions: <br /> I hereby authorize the performance of the above indicated work. <br />