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r r r r r r r �■r r■r � � r r it r Ir rr � rr, : <br /> CHAIN OF CUSTODY RECORD <br /> Geological Audit Services , Inn Date /LZg I7 Page or <br /> E17Yir'MIM9n1a/Profussioi7,?/s <br /> `rte 1003 Wcsi fA'"h Lnnc, Suitc A - Stocklon, C Lklufnia • 95201 - (200) 9513.0204 <br /> - 2 16 <br /> Client LE-S � �rA-�.s Project Manager <br /> —_ && AMI ` L Tests Required <br /> Phone Number <br /> _ Samplers: (Signature) j /i',Invoice: <br /> 7/?- <br /> Project Name C4Z4<11V,5 7/?-UC(k--1 f\JC-f / / `IGeoAudil <br /> 1 Client [] <br /> Sample L.oc,;IiC�n SarnF)le Typc No. of //f :/// / / ' '--- <br /> Number Description Dale Time __VV�ller -- - -T- Solid `�; ;% Notes f <br /> Came. Grab, Alf Cones, <br /> C•Ehl- rr t w2�l P_X«u�Za,.� ..Z � tv, 55 r 42670 <br /> s <br /> GWiv-r Gu�Sfiwa!l��xcuva , Z r1: Asa X j - _. ._42671 <br /> rf ,I <br /> f ,r <br /> �U� w�.[ ------------ z�_ _-- ?l:a a----------- ------------�---.. ._.�'_....... _l�-�-�- -----�- ----- --�- ---- -; _._...4 2 6.7.2....- <br /> C�uw - I n '� °5 42673 <br /> z� -- - ---- — '� — r <br /> 1c urs _d_d ijn. - 14c i .r ley:(Signalurr <br /> —_ —.—_ 'fir c �07 y �L�/ /Q <br /> Relinquished by. {Srcgna ire) eivcd by: (Sirgnaltarc)k! �O D � ��I�,7 O �IclTtmr '4f�L- . <br /> ochnquishcd hy; (SiOnaulrc) —� Ilcccivcd by Mobil(! Laboratory tar licld aTfai .;�: �fjrr]r'r � "' PROPRI�� OnlclTime <br /> HE D S&ACE A S NY� CONTAINERS <br /> Dispatched by: (Sirdnalurc) t):r3r/Iirn0 ifloccived fur Lnborntory by: Dill 01limo <br /> Method of Shipment: LahlV!,�orrnlory Narno <br /> 7uJ� � [� �/`lam- — 0 C6Aq09e"-- <br /> Special Instructions: Ir I heropy aulhorizc Ihn porfnrmancn of Iho nbove Indicntod work. <br /> G -� r <br />