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1• IF IM f f Ev t ttwtms <br /> A�7 -', <br /> N CHAIN OF CUSTODY RECORD <br /> Geological Audit Services , Inc. <br /> Date 7" 4 3 Page of L <br /> F7 Enwronmenta Protess�nais <br /> 1803 West March Lane Suite A Stockton California 95207 (209)956 0264 <br /> mewr <br /> Protect Manager <br /> ;,Tient Roh �or� wa� 00 <br /> L Mgr} , Tests Required <br /> Phone Number <br /> Samplers (Signature) �`�' Invoice <br /> /�� GeoAudit <br /> Protect Name Oyy Wd�/ ProPerl y �� � �,e,y, �,� � / Client <br /> Sam <br /> Sample Location Date Time Wa�p�e Type Solid No of <br /> Number Description Comp ursb !Ur COntS <br /> Q ; , Notes <br /> t <br /> -IW-117- -q �► -q3 3 X 311A� <br /> nw-;l,/7- -T3 X 3 X <br /> Mw-3I7-6- 93 3164 <br /> t <br /> e tngws e y tgnatureReceivedtgnature OatalTtme <br /> ytt,t 51andetr4 T.A-T. <br /> Reltrrqui hod by (Stoat re) carved by (Sign re) Daterrime <br /> �� ?;Cr <br /> ell quashed by (Signature) Received by Mobile Laboratory for field analysts (Signature) DatpfTime <br /> Dispatched by (Signature) Datefrims Received for Laboratory by Date/Time <br /> Method of Shipment Laboratory Name <br /> Special Instructions I hereby authorize the performance of the above indicated work <br />