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� 7� = M M � � I � � � � � <br /> CHAIN OF CUSTODArRD <br /> Geological Audit Services , Inc. Date l�; r� —� � Page of <br /> _ === Enronmenta Y� Profession.71s <br /> Now1803 West March Lane Suite A Stockton California 95207 (209)956 0264 <br /> r <br /> Client <br /> Project Manager Tests Required <br /> ��o� C-p�l ,,va <br /> Phone Number ' <br /> Samplers (Signature) Invoice <br /> Project Name G 0 V1 -Vet y F eL,? '?0 1 � 1 ? �'�� / / / / GeoAudft <br /> Client ❑ <br /> Sample Type <br /> Sample Location Date Time Water Solid No of / Notes <br /> Number Description Comp Grab Air Cants /4q�` <br /> i <br /> µvv— i l k — c 14 —q3 <br /> �G r' <br /> Kvt,- X <br /> I <br /> I <br /> e mquis e by ignature) ecerva y (o.gnature Date/Trme <br /> Relinquished by (Signature) Received by � ���� Rate/Time <br /> Relinquished by (Signature) Received by Mobila4b field an lfiis Sign re) Date/Time <br /> Dispatched by (Signature) Ratt ed for bo tory y Date/Time <br /> r ^ <br /> Method of Shipment Laboratory Name <br /> IAV F75�' <br /> Special Instructions I hereby authorize the performance of the above indicated work <br />