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y: <br /> � <br /> • CHAIN OF CUSTODY CGORb" . <br /> 4Q_ —' Geological Audit Services Inc. J/i <br /> ��� <br /> EnVirnnmenta/Proless1iona,(s ' rs Date y Page �_ of—� <br /> �� 1803 West March lane, Suite A- Stockton, California-95207•(209)956-0264 <br /> Proje anagen <br /> Client D �� Tests Required <br /> R3 Zg/ /V.a j y f/V o Phone Number ` / / / <br /> 20Q %r7e- O 214 <br /> PalSi nature) / �Invoice: <br /> Project Name �P� S; A00Z, � r� S�GrLT�/[/ 1 GeoAud< <br /> � � 1� � Client <br /> Sample Type <br /> Sample Location FNO0 <br /> ofDate Time Water SolidNotes <br /> Number DescriptionComp. Grab. Air nts. / �' , <br /> AW X <br /> tr�fw#Z 7•r,r Y46 5 <br /> Relinquished y: tgnalure eceiv y: (Sigwalur Date/Tim C <br /> l Relinquished by: (Signature) <br /> Y• Oats/Time <br /> l Relinquished by: (Signature) Received by Mobile La oratory for field analysis: (Signature) Dat-frim. <br /> Dispatched by: (Signature) DatelTime Received for Laboratory by: Date/Time <br /> Method of Shipment: Labor�to ame <br /> Special Instructions; 1 hereb horize p ante of thea ova indicated work. <br />