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, 9M <br /> CHAIN OF CUSTODY RECORD <br /> Geological Audit Services , Inc . Daae -����15 gage <br /> Ev: E�I�ironme�ta P�ofessiana/s ,. <br /> low s� 1903 West March Lane. Suite A- Stockton, California -95207 (209) 956-0264 <br /> r <br /> Client M� �� t 5,41 f y Ua v vQ w lob Project Manager <br /> NNU !Y Tests Required <br /> Phone Number <br /> Samplers: (Signature) Invoice: <br /> Project Name GeoAudit <br /> �ON Client ❑ <br /> Sample Location Sample Type <br /> of <br /> Number Date Time Water Solid No. s. <br /> Description Com Air Cents. /� Notes <br />� p. Grab. <br /> I _ <br /> J war�r Drucin5 1 -1�� �t 4� caw (✓oma 0?17< 'POT - I I ,�• <br /> 6-1 <br /> X ? p or-� ,ate DaT-3 1 <br /> e inquis a be: (6ignaiurej Recaivod `i atura J !e/Time <br /> Relin ui d b <br /> q Y= fS}B�ture} Received by. gnalure) Dra�ta/Tme <br /> Relinquished by; (SignBfure) Receive by Mo 'o Laborator for field analysiss�. 5/s— <br /> : (Signature) <br /> Qal ime <br /> Dispatched by: (Signature) Date/Time Received for Laboratory by: Dale/Time <br /> Method of Shipment: Laboratory tJame <br /> Special tnstructiona: <br /> I hereby authorize the7/perlormance of the above indicated work. <br />