Laserfiche WebLink
C>. 1 ,�� CHAIN OF CUSTODY RECORD <br /> Geological Audit Services , Inc . Date �7�- 1Z-9�-Page <br /> �� En�Rarrmenla Prefessiona/s <br /> �� 1509 West March Lane Suite A Stockton Caldornin 05207 (209)956 0264 <br /> ClientProject Manager p Q k��/ Tests Required <br /> Phone Number <br /> Samplers (Signature) invoice <br /> Irl! GeoAudlt <br /> Project Name Oeuol'a ;36, ;/ / Client ❑ <br /> Sampl Tylpee <br /> Sample Location Date 'Time Water Solid No of � Notes <br /> Number Description Comp Grab Air Conts <br /> qura y rgn uraReceived y '(Signature) 5 fo A Dale/Tim <br /> HiV vIl,-/Z.-9 e Z� <br /> elmquished by'(Signature) Received by (Signature) rUf DatsffirAs <br /> Relinquisged by (Signature) Received by Mobile Laboratory for field analysis (Signature) ]7 M Dalwime <br /> Dispatched by (Signature) Date/Time Itocoivod for Laboratory by Date/Time <br /> Method of Shipment Laboratory Name <br /> ��`!d a w77 6A L <br /> Special Instructions I horob uthorize the performance of the above indicated work <br /> G JW-/- <br />