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Geological RECORD <br /> Audit Services , Inc. CHAIN OF CUSTODY �ECOR <br /> Enn�,nla Pri7fessrlor�aJfs Date ��� �� page �_ of <br /> MEW <br /> MEW1903 West March lent, Suite A-Stackteq, Cetliornle-9320)-(209)956 UZOi �' <br /> i9 K, <br /> 1 N-ate 7 <br /> Client 5l o C K l o� 5,e iry i c-e 51ct l r a Project Manager <br /> KV-Vivi M cA�We Tests Required <br /> cPhone Number <br /> Samplers: (Signature) <br /> Q� // / invoice: <br /> Project Name Ayn-k�t t 0 M� �c�i �! / ,� / Ly <br /> +�'7 r'CebAudit <br /> + '+ ClientSam le Location Sam #eType ' <br /> Number Description Date Time Water Solid No. of <br /> p comp Grab. Air trouts, fK%,'` <br /> ~ F �AMy5`0rA ;I� w li,d 3-)L4-qIrT:3U ro / y <br /> 5 , 3 <br /> 5 � � � t' wok T t �'= <br /> r C a wl PO 5 '!5' )u <br /> � 5 lr TVD i _ _ 34916 <br /> Q W 01 I r'rJ-' <br /> 0/0 PWI h R ktc <br /> rn urs a tynature <br /> _ �Jx ecarve y: rg lure ��dyt ar <br /> / � Ratef?ime <br /> rY rnquishad by:t3ignatvre) _�. <br /> u- Received by.(&igrtatere) <br /> (?are/Tlme <br /> alinquished by:(Slgnalure) Received by fAobife I&Mfelory for ilold analysis:(Signature) <br /> LSl <br /> 3a#el7ime <br /> iT Dispatchad by.(Signature) Date/Time eceived or abaratory by: <br /> Oaternme <br /> 7 l4t0110d of Shipment: f� ) 4;h tiii i laboratory Hame <br /> MW <br /> i "apetiat Inslruotiona; f - r <br /> hereby authorize the p9rforMance <br /> 0 the asave indicated work. <br />