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VERNON etw�R >>Z� tttttti <br /> �.�== G e CHAIN OF CUSTOD4ECORD <br /> = <br /> _ _ ...._ oioglcal Audit Services , Inc . <br /> �� r `Ern�ranmen�a Pin/essiona/s t Date 1 Q ! 3' ct q Page of IL._ <br /> 1803 Weal March Lane Suite A Stockton California 95207 (209)756 0264 <br /> r � <br /> Client -¢wl'wt a v5`V, 1 Q ;'Sc ao# " 9 i 5 TN l CX Prolect Manager <br /> Md Tests Required <br /> Phoije Number <br /> 'Sam lets- (signature) lrnrolGe: <br /> Project Name <br /> Pro� <br /> h Q+h Wl�Ys1�1+`i! 5[KOo l �I 3'!YT G�, 4., ,. ` ��;-Z`1"' 'VK✓"w1�V'�'L s ,;V <br /> s <br /> caerit <br /> Sample' 3 -Y,tocation Sample Type <br /> Number ; A ' �Description t DateTime Water �r � Solid No of ,� Notes <br /> comp Crnb. Air Conts. �� �� <br /> a R _ �._ <br /> } yw3 - i <br /> Y 3=L40 =4_1589 <br /> S �^ <br /> Mw-�5 to t3 ..q,,� � '•� �'F � , ,� 3 �,� ���� � � - -__4_1594 <br /> _6 ' r f ►" ► - - <br /> Mw- 7/2o t <br /> r 3r Y�'., i, t 3:�.g X,4 C ° 41592_ <br /> •3 n1' Z r <br /> w <br /> M _cf/10~ `41593 <br /> r -2, �( . 41594 <br /> e iu <br /> ;� n r3 O[q OCawed by_y dna r <br /> 10^1 <br /> t� r Date/itene <br /> Relinquished by (Signature)" <br /> r]Tdvt�dre�r T-� .T_ 3�Y��l�:�5 <br /> ca (Signature) F� <br /> R&I,nqurshad by (Signature) <br /> Received by Mobile Laboratory for hold analysis (Signature) <br /> Date/Time <br /> 013P ;had by (Signature) Datel I ime RacOlved for Laboratory by t <br /> Method of Shipment_ -mow»tet <br /> Trd V y q C f , Laboratory Ham& <br /> Special instructions <br /> _ I hereby authorize the pariortrtanca of the above,ndlnated wrork, <br /> HFA�AC�AMUff 00WAMIS <br />