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4( CHAIN OF CUSTORECORD <br /> Geological Audit Services , Inc . Date . 7- 3 Page of <br /> - =-�� EnYironmenta Pmfessiona,(s <br /> Gr <br /> tiP 1803 West March Lane Suite A-Stockton, California 95207-(209)956-0284 <br /> s <br /> Client � r Project Manager <br /> Pa G i f t s (p 7 z s Bob M d'.I` Tests Required <br /> Phone Number <br /> Samplers (Signature) Invoice <br /> / <br /> Project NameGeoAudd [S <br /> Client <br /> C� S �' Client ❑ <br /> 0.h <br /> Sample Location Sample Type No of + � <br /> Number Description Date Time Water Air Solid Conts Notes <br /> Comp Grab <br /> 15 3-z-q3 •/5- X 1 X <br /> -2, 3r 4.30 X I X <br /> 6{ 30 3-z-13 40 <br /> ',Z- 15 3-7_-13 y <br /> �JZ-Zo 3-7-`g3 /0: /s X- <br /> t3Z'Z5 3- z-s3 /a, ad 1 <br /> Rol m e y atureReceived y (Signature) � � Date/Time <br /> Relinquished by (Signatu e) Received by (Signature) Date rime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis ( e) DatelTlme <br /> Dispatched by (Signature) Datefrime Receive for a r to Date/Time <br /> -71/f U I.A/ A <br /> Method of Shipment L o a <br /> Special Instructions I hereby autho a the performance of the above indicated work <br /> D <br />