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Geolo icaAuditI Services , IAC . CHAIN OF CUSTODY RECOI <br /> .. -- EnVironmenra/Pl-oleSSiona/s <br /> ou•' F <br /> �� 150 4lrsst March Lnna, Suite Date � <br /> �r A Stockton, California-95207_ page <br /> r (209)956"02r; i( <br /> a <br /> Client �.�c c 'Ic}:t S-t t- <br /> tr;c e S jT i Project Manager <br /> 13C 0 q Tests Required <br /> Phone Number <br /> yq5 0,) 6rr1 <br /> Project Name <br /> Samplers: (Signature) <br /> or 10 , t,� f/ ,� Invoice <br /> �qr C-oil"� gih � r C , <br /> - ti <br /> Sample GeorA'ug-dn- <br /> iit 1lLocationNumber Descriptiol, Date Time Sample Type <br /> Water Solid No. of <br /> con,,,, �;��, AirCents. Notes <br /> 7 <br /> -_40718 <br /> 5 f d �70�lir '�—�— X x <br /> ---- r I . 40719 <br /> 5 � � � � � X � 40720 f <br /> 4072 ?1 <br /> e inquts a y; ignatura <br /> Flalinquishad by:/ { / '1. <br /> (Signature) J �a r'I Cf a 1-4 ! ��• Deter,",rie� <br /> Z-I <br /> ZM. <br /> ¢t7 q� IE �---C Imo <br /> by bilo Laboratory for flold analysis: (Signature) 9"Y <br /> /l ori <br /> bispatchad by; {Signature) _ Dete�Tlma <br /> Date/Timo ROcOlv0d for Laboratory by; <br /> Method of Shlpmont: dafe/Tlmw <br /> �r^QvlS 'pC 11 — Ciz el( lk;G,1 <br /> girls { <br /> Spoctnl Instructions: Y <br /> 14 Vill <br /> heeby authorize tile` F'ATE rormanoe of the <br /> above IndloUr:d work <br />