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� - CHAIN OF CUSTODY RECO <br /> __.._ � ...,. Geological Audit Services Inc. <br /> r = EIIY!/t7/dmB.7la Fit71eSS,9�r7a,Cs Date 3-7571ha <br /> Page <br /> clow loth 1803 West March Lane,$oita A-Stockton.California-95207 •(209)958•0784 <br /> l0 <br /> Client 510 C 9)b0 5�r vi`t 4 5 7a J ;a&1 1 project Manager <br /> v K e v i q M c x w b�t Tests Required <br /> °0 Phone Number / <br />` coq ) q <br /> Samplers: (Signature) <br /> J � <br /> I ' <br /> Invoice: <br /> Project Name P1{u v. No t J'i G2aAudit <br /> Client ` <br /> Sample Location Sample-Type fr. <br /> Number Description Date Time � Water Solid No. of �� �l. r" �F` <br /> Air Conts. Notes <br /> p �g Cc n Comp, Grab. <br /> � <br /> - <br /> .. 34 917 alfa fl0�l f S!- Tra <br /> 51-- 1 <br /> 5 1 1 �, ► i � � <br /> 50 01 k <br /> 34918 <br /> qws a rgnalw 3 <br /> ecaiwe y: ign ldre <br /> o S 7a vl a!-ct� . <br /> e in wished b �' "� dataRTime <br /> lL y= (sign turej <br /> Fleaeived by: (Signature} <br /> OatelTime <br /> Relinquished by:(Slgnatura) <br /> V fleceivsd by Mobile Laboratory far field analysis:(Signature} . <br /> @ I)atalTime <br /> 0) 01spatched by:(Signature} OateJrime <br /> m Received for Laboratory by., <br /> QatelTime <br /> EMethod al Shipment: laboratory Marne 14 t-QiUtPbt <br /> Special instructions-ED <br /> _yx....., ,..,, ! hereby authoriro the pa.formance of the above indicated work. <br /> v <br /> D <br />