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'CHAIN OF CUSTODY RECORDy <br /> Geological Audit Services , Inc . � t <br /> =� Environinen&Profession ,1 <br /> /s Date tt 3 4 Page j of •� ^` <br /> 1a03 Waist March Lane, Suito A• Stockton <br /> sowCalllornia - 75207 •(207) 9 iG•02GM1 <br /> Client LIU Caj Z Ikr Project Manager <br /> b <br /> MaY4 i Tests Required <br /> Phone Number 1' <br /> 20a-�5�• o�l�- �,, <br /> Sa 1er :-�t invoice: <br /> I <br /> Project Name C&Iiyu GeoAudit <br /> 1t 44 AClient ❑ <br /> Sample Location Samp e Type <br /> Number Date Time No. of Notes <br /> Description Water Solid �' <br /> cornh. crnl>. Air Conts. T <br /> LC- <br /> Side,W <br /> e, a 25��' <br /> 4+[J <br /> ;Isfde 2.10 bSci <br /> l.0 N nn>r side o� i� 2 <br /> 'i <br /> e inq rs a y: rgnaiure \1 �acoivued <br /> yignData/Tir Aa nquished by: (Signature) b <br /> y: (Signature) <br /> Date/Time <br /> Relinquished by: (Signature) Received by Mobilo Laboratory ror lield analysis: (Signature) <br /> Dale/Time <br /> Dispatched by: (Signature) <br /> Da1o(7ima Nacaivad for Laboratory by; I <br /> i}f ate/Time <br /> µakrod of Shipment; 7F <br /> Laboratory Name <br /> T�AIVJ p - � �-�-�c M c Ca m "bel I <br /> Special Instructions: <br /> I hereby authorize the porformanee of the above indicated work. <br /> i�` <br />