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��. CHAINy <br /> _ -� , inc. of CUSTODY RECORD <br /> Geological Audit Services <br /> == Envi�r7mer�t Prra�ss,Ior�,� Date 'Z pagi 0i <br /> _ 0803 West March Lane, Suite A-Stockton.California-95207-(209)958 om <br /> Client <br /> Pr 'ect Manager <br /> v Tests Required <br /> 6V MJ J Phone Number <br /> �J � -F,-SZ -d2-4;14,1 <br /> Samplers: (Signature) ; <br /> Invoice: <br /> Project Name <br /> GeoAudit ' <br /> Sale fe <br /> Client <br /> P Location Sample Type <br /> Number Description Date Time Water Solid No. <br /> Comp. Grab. Alr Conts, Noes <br /> X;0-7— <br /> /p- _ <br /> '2 ZL ID�3d <br /> �; 1/ � �'•�-� gyp..� y <br /> -IT *^/ <br /> e+ngms a y: ignature <br /> y, <br /> son re <br /> i Date/Time <br /> e-zo <br /> R � h d Y�( nature) / % <br /> / Recei Y ignat <br /> inquiahed '. Oats/Time(Signature) __ <br /> ec ive obile bor ory for field a sl sf�� <br /> DtateMme <br /> Dispatched by: <br /> l] to ime <br /> Reeeived for tsboratorJr�rty;.,;.•.,,�- <br /> t , Date/Time <br /> Method of Shipment: "+s ' OP ATE <br /> ry !tame <br /> - <br /> Spacial Instructions: ,✓,Y •rr <br /> 4par 1 hereby authorize the performance of the above Indicated work. <br />