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Geological Audit Services , Inc . CHAIN OF CUSTODY RECORD <br /> En�ironmenta/Professiona/s <br /> Date 6 -6-q y <br /> 1803 West March Lane, Suite A• Stockton, California-95207- Page <br /> l� of.__j__ <br /> r (209)956-0264 <br /> Client <br /> P�' I otiinsy0 Project Manager <br /> kCev'h M `Kr bL+h Tests Required <br /> Phone Number <br /> (aoq) g5-6 -0..6L-1 <br /> Samplers: (Signature) � <br /> Project Name Ra'tater B jcLd e 5Invoice: <br /> 'yLi.c7� �,. <br /> GeoAudit (� <br /> Sample Location Sample Type h Cli C3 <br /> Number Description Date Time <br /> Water Solid No, of <br /> I5Comp, Grab. Air Conts. �i i ;' / Notes <br /> 'VXcq„a7,o� 50 <br /> wr�s7' �'a I) q � � � X <br /> S I - i l S o u7 t,b,�l 1 1 r • --- x I X <br /> q: o y X <br /> SP - � 570CRP;le X <br /> - 9 ��� <br /> 5P - ;t ` 1 C0MJ0f.7e SP-1 dS>P—?, <br /> q:� �' X <br /> elinquished by: ( ignature) ; <br /> M� eceived by: ( ignature) <br /> Relinquished by: (Signature) 5Ntida P4. r-11 .T- Oate ime <br /> e Gby: (Sign to 1 6-6-q4 17:0 0 <br /> Relinquished by: (Signature) Oate i7 <br /> eceived by Mobile Laboratory for field analysis; (Signature) 9 406 Am <br /> Dispatched by: (Signature) b 0 te/Time <br /> Date/Time Received for LaboratoryY� <br /> Method of Shipment: OatelTims <br /> Caa�� Laboratory Name <br /> Special Instr coons: — M t CQ m y k{ j <br /> ICI hereby authorize the performance of the above indicated work. <br /> r `. 1 <br /> n In <br /> :J <br /> 9 019 <br /> 'L'T 4"PA.Ct ABV vONlI�IP RS y� <br />