Laserfiche WebLink
CHAIN OF CUSTOD*ECORD <br /> Geological Audit Services Inc. <br /> �� Enl�rw,vr�n Prt�h�ssq�a,�s [late 10-24-12 Page —Z,-of 2, <br /> 1803 West March Lane,Suite A-Stockton, California-93207-(209)9364)2&1 <br /> r <br /> Client M t:�Q � H Project Manager Tests Required <br /> Phone Number <br /> t <br /> Samplers- (Signature) Invoice: <br /> Pro ect Name 5 o c To i E]1 T K h p%rt e STaTi o vt �`z GeoAudlt�����l�,� <br /> a V Client � <br /> Sample Location Sample Type <br /> Number Descri tion Date Time Comp (arab `` <br /> p Water Ar Solid C ntsf Al <br /> �Q�n / Nates <br /> T5 - E Taoy , t:aST Qhs to-��-q3 1�5s X , X X <br /> 32864 <br /> z, <br /> i <br /> .t <br /> Helinquis by (Signature) Received yPaiute) Date171m* <br /> )4vt .2ttt r $7art Qrc� T -T. 10 11-17/ <br /> Relinqutahod by (Signature) Received by (Signature) Datelrlme <br /> Reitnquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) 04tomme <br /> 5 <br /> Dispatched by (Signature) Datalrime ecelved for I aboratory by 0atalTim* <br /> Uothod of Shipment Laboratory Nam* <br /> � h t Gaw jf.4 <br /> Spacial Instructions UlItH I hereby authorize the performance of the above Indicated work. <br /> 10 <br /> G0013 CONDITION APPROPRIATE <br /> C ___ <br />