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CHAIN OF CUSTO RECORD <br /> Geological Audit Services , Inc. Date - -53 Page of <br /> now�� EnYirianmenta Prolesstona,� <br /> ' 1903 West March Lane Suite A Stockton California 95207 (209)956 0264 <br /> Client /��. Pro ect Mana er � <br /> [�"/l� (n�7z- 0 Tests Required <br /> MWVe,L Phone Number <br /> Zuz `1,!57& `0 2414 <br /> Sampler (Slgnatu ) Invoice <br /> Project Name L 1r. GeoAudtt ZQ <br /> Client ❑ <br /> Sample Location Sample Type �} <br /> Number Description Date Time Water Alr Solid Corns �Q �V No e <br /> Comp Grab ^` O v <br /> r <br /> I 1Y 1 1 1JZU0J IF $5-15 <br /> $5 Z� <br /> XP-h-mss -w—pcall <br /> 3-3-12 110 y l <br /> 41 x 1 SC 12upt I r- 13�- 30 {s <br /> e i a is; ature ecerve y rgnatura Date/Time <br /> Relinquished by (Signature) Received by (Signature) Date/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory lot field analysis nature) DateFT+me <br /> Dispatched by (Signature) Date(Trme Re eiv Lab o <br /> y Date/Time <br /> 1 <br /> Method of Shrpmenl Wa r <br /> Special Instructions I her au orrze the per( rmance of the above indicated work <br />