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r , -A, <br /> CHAIN OF CUSTODY RECORD <br /> G e . <br /> ological Audit Services , Inc . Date 7- �1�q3 Page of <br /> �.� Env�rnnmenra/PrafessnonaLs <br /> 1803 west March Lane Suite A Stockton California 95207 (209)956 0264 <br /> �Ilent R p h Lon 1+tr4t,/ i Project Manager Bob Md r Tests Required <br /> _. <br /> l Phone Number ! / <br /> Samplers (Signature) Invoice <br /> I <br /> Dro ect NameoAudd <br /> l Co n w'a Conway Pro p t1� 7 'Yl``1�,,,(,,� '0"� � <br /> / Client <br /> Sample Location Sample Type <br /> Number Description Date Time Water Air Solid Con s Notes <br /> Comp Grab <br /> , P- 1 7-z1-q3 Sato <br /> 5P-3 �� X l X1 I � fd12 <br /> f <br /> 5P -5' 3141 <br /> 5P ' 6 x 4 <br /> X ' <br /> t 31415 ' <br /> s <br /> e inquis e y (Signature)% ecefve y 9pature Oate(rrme <br /> 7 r� $7aHclarc) Z.A.?` zr-s; io s�_ <br /> aelingwshed by (Signature) Received by (Signature) DatefTfine <br /> elinquished by (Signature) Received by Mobile Laboratory for field analysis (&gnature) DatefTrme <br /> ispatched by (Signature) Date[Time Received for Laboratory by DatefTrme <br /> rethod of Shipment <br /> Laboratory Name <br /> 75-01"e- 1.1 n e C#V,b•( I <br /> t.ecml Instructions `' 1 hereby authorize the performance of the above indicated work <br /> !MnATE <br />