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CHAIN OF CUSTOD ECORD <br /> Geological Audit Services , Inc , Date � -�-3-5y Page 1 of� <br /> �= En�1ronfienta/Professionals <br /> 1803 West March Lane Suite A Stockton California 95207 (209)956 0264 <br /> Client RIO J'o I'd a m Project Manager <br /> Tests Required <br /> polo KOY <br /> Phone Number <br /> �-o q) J 5,C-ot ��-�- <br /> Samplers (Signature) `4b Invoice <br /> Project Name Jo odait Rkd,( Vs kte ?�,t,{,-i„ti` � �,rt, �� GeoAudit <br /> Client ❑ <br /> Sample Location Sample Type Date Time No of <br /> Number Description ComWateGrab Air Solid Conts ` Notes <br /> borj uq 81 r f,,r X R CEIVED <br /> " <br /> 16,K') I x B E t <br /> IN1TlAl. <br /> % <br /> EST. LAB <br /> Relinquished y (Signature)_ ac i re), ategime <br /> Reh i by ig at bKK4YV( i r;WreL---/ L;�'_ <br /> /W I dartefTinie <br /> es6Wt d i at r R-e—c ei ve _by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) DateMme Re rved 1 aboratory by <br /> � lerljme 13� <br /> Method of Shipment Laboratory Name <br /> We�- r' <br /> Special Instructions I hereby authorize the performance of the above Indicated work <br />