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AC <br /> Geological AudIt Services , Inc CHAIN OF CUSTODY RECORD <br /> - =�' En��ronmen�a Professionals <br /> Date Ir l� Page aim_ <br /> IOU3 West March Lane Suale A Stockton California 95207 <br /> .�- (209)956 0264 <br /> client <br /> L '� Protect Manager <br /> VI-4I Tests Required <br /> Phone Number <br /> Samplers (Signature) <br /> ����� ��) invoiceRroject Name wrrL�k �Y <br /> 1� GeoAudlt <br /> I <br /> Sam � � <br /> ple Location Sample Type Client <br /> Number Description Date Time Water Solid No of <br /> Comp Orb Air Conts �a Notes <br /> MW ! Iil� � Mw -1 I� `� EIS` X <br /> t�' � 3 7� <br /> MW3 Ii 194 Mw 3 i2' 06 x 3 � <br /> P4w-+ ti y q4 f(w-+ y z �b X 3 <br /> �LV+���" <br /> MW 1z Zo <br /> I <br /> a rnquIsI Ie y rgns -11 i <br /> acerve y �gnaturo '-T <br /> -------1� CinY�{(�y� 'rA I Oals/Tim• <br /> eiinquishad�ylnature) <br /> Racoivod by (Signature) <br /> Rehngwshed by {Stgnalure) <br /> Rocotvad by Mobile tabotalory for field a <br /> --nalysis_{$tQ4aturp <br /> Dispatched by (Signature) <br /> �- UaiorTime Flocaivad for inborato Dafa(Time <br /> llx��athad o! Shipment Date/Time <br /> aborato Name <br /> Spacial Instructtona \N <br /> I haroby authorize the performance of the above indicated work <br />