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CHAIN OF CUSTODY RECORD <br /> Geological Audit Services <br /> r"nt�irc�msnta�Prof , Inc . <br /> ,��-C!� <br /> esstona,EsCTe nage # <br /> 1803 West March Lane• Suits A-Stocktoe,California•93207•(2Qg) S;5"2g4 �---- of�_�'.l +r <br /> Of <br /> ent f-t C �� i Project Manager <br /> a 55 <br /> (�z v�� N! '=�,i�fr:: Tests Required <br /> i <br /> Phone Number <br /> Samplers: (signature) <br /> Irwflice: <br /> - <br /> r 1 l uvc: l GeoAudit [7 <br /> Samplel� Q Client Q <br /> Location Sample Typ ' _ <br /> e � <br /> �'UumberDescription nate Time Water + Solid NO of <br /> 7 Comp. Grab. Air Conts. / i �}f Notes <br /> l <br /> "� j •rte. �� � .:� � i I � a <br /> 34835 <br /> F t <br /> i <br /> ,uishQ4 by: (SIlgnatvte) <br /> i y: ( 49nature) <br /> lu+shed by; (Signature} <br /> Datel�ime <br /> Ae y; (Signature) `� # (;, <br /> r <br /> a/T' e <br /> cashed by:(Signature, Oat <br /> ) .� _ r- <br /> eived by Mobile Laboratory for field analysis:(Signature? a2S �-- � C <br /> shed by; (Signature) D i telTims <br /> ii <br /> t- <br /> DatefTime iteceived far LatForatory by: �' <br /> I L <br />' <br /> CI- <br /> i of Shipment: <br /> OatelTime <br /> L- <br /> Laboratory Name <br /> li <br /> )lrts4• I hereby authorize the performance of the above indicated work. <br />'F �I f <br /> c <br /> r <br />