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I <br /> CHAIN OF CUSTODY RECORD <br /> Geological Audit Services, Inc , Qate page t O� <br /> � zT �. En�ro��enlalP�fessroraals __ _ <br /> r s <br /> rr tat�atal 1e0J Welt Marcb Lane, 9ulte A•Stockton.Caliloinla•95207•(209)950.0264 <br /> z <br /> Project Manager Tests Required <br /> Client �a,} P�Y,� r#��t�lQ n ��s / 44 JV'auwl� Kevin H'K;kPP <br /> tn <br /> $0 I Phone Number <br /> � <br /> Alf)17156--0�.G� <br /> I-4 ++ Foof l C/� q ;zf 3 0 Samplers: (Signature) f�,�� Invoice: <br /> Nam, Royal o A 14 5 Pr i o c e 5 5 GsoAudit <br /> Joject Name + � +�,�� Ciient W <br /> Sarrtple Typo <br /> Sample Location Solid Na.of f / Notes <br /> Number Description Date Time Water Air ContS./A � / <br /> Comp. QIQb. <br /> T - w Ta4A i- ~ W,-074 10' fi-,;tb-q <br /> 5 - s7a c 1'�P►I e 9:1 __ _ r LestDii T? <br /> �^ l� <br /> T-' <br /> I I <br /> t. r <br /> natio a y: rgnaure gaQ a re 'It--51� patofTim9 <br /> a <br /> Relinquished by. (S gnatwe) Race ved by:(Signature)I Datelrlme <br /> 07 el nqu she by:(Signature) Received by Mobile Lubolatoty lot ticlr! an�ve <br /> a:(5tgnaturc) Date/Time <br /> m Dlbpatahed sy• (Signature) ateji ma Rooefor Laboratory by; DatelTlme <br /> h1whad or shipment: Laboratoq Name <br /> AS56C.i't•J'4 <br /> 8p�olttl Inatrsla4ans I hereby authoti2e the perlormanoe of the above indicated work. <br /> I <br /> { <br />