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;30 � � � � <br /> CHAIN OF CUSTOD CORD <br /> =� Geological Audit Services , Inc. Date - qPage 1 1 <br /> F17W1VnMen4? 0rofess^ona,&- <br /> of <br /> 1809 West March Lana Suite A Stockton California 95207 (209)456 0261 <br /> 49 <br /> Client �,� Project Manager <br /> Bob mad Tests Required <br /> Phone Number/ <br /> - I Samplers (Signature) �� j �Invoice <br /> Project Name / GeoAudlt <br /> C w 0.t pY r `� <br /> Client <br /> Sample Location Solid No of Sample Type / <br /> Number Description Date Time Water ��` Nates <br /> Camp Grab Au Conte <br /> MW-3/6- -q3 MW- 3 6- 3 93 r 1 o x 3 <br /> Relinquished yrgn�ture eceive y ignature Date rme <br /> Relinquished by (Signature) Received by (Signature) Date/rime <br /> Relinquished by (Signature) Received by Mobile Laboratory for meld analysis (Signature) Datefrime <br /> Dispatched by (Signature) Date/Time Received for La rato Date ime <br /> - - <br /> Method of Shipment LabratCCJJ� <br /> ory Mame <br /> Special Instructions I herebyauthorizethe performance of the above indicated work <br />