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E CHAIN OF CUSTODY RECORD <br /> Geological Audit Services , Inc . Date ��-�-94 Page hof z <br /> iSnViro17Mi9w /Pr01PSSiona/s <br /> 1803 West March Lane Suite A Stockton California 95207 (209)956 0264 <br /> r. <br /> Client d0& ToAe. Project Manager <br /> Tests Required <br /> Phone Number <br /> W11 q5l�,-62-6q <br /> Samplers (Signature) � Invoice <br /> Project Name , rew f 1 Kk 6AZ � nd )4 0 <br /> Client p <br /> Sample Location Sample Type <br /> Date Time Na of <br /> Number Description Air Sally Conts q Notes <br /> Comp Grab <br /> �� �� l�2-G- 9 3� <br /> g • I art 46 *'0 <br /> ?- (n �Vv7 - <br /> V K <br /> Mel <br /> i na ece e y i a e Date(T+me <br /> 577h�dipf+� T� - � <br /> d atu e) ' <br /> Re ei d b gn �« � � r`ti1 µ `� <br /> ( i �- <br /> Received by Mobile Laboratory for field analysis (Signature) <br /> C Date/Time <br /> Dispatched by (Signature) Date/Time Roceived for Lab or by Date/Time S°25 <br /> -��t <br /> Method of Shipment Laboratory Name <br /> Special Instructions VV <br /> I hereby authorize the performance of the above indicated work <br />