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^ ,AlnN CHAIN OF CUSTODY RECOR( <br /> _=- Geological Audit Services , Inc . awe 01 Pae <br /> •.•�'• Enrronmen�a Professionals 9 of <br /> ��� . <br /> MINKAW1603 West March Lane, Suite A-Slocklon, California• 85207-(209)958•0284 <br /> i C;? 7�!' <br /> Uent ' [� Project Manager <br /> CCr J- i f wr Tests Required <br /> Phone dumber <br /> a rs: (Signature). invoice: <br /> Project Name i � �' AGeoAudii � <br /> . <br /> ' <br /> Client6fe'�1 �r � Sample TypeSamle Location C <br /> Date Time Water Solid a. NotesNumber Descrption <br /> 1 <br /> '_, • _ comp. Grab, Air Cents_ <br /> .. _A4 <br /> S - tl 35215 <br /> EASE <br /> I" s It_ F- <br /> 21 i <br /> 35218 <br /> e ws a y' lignal a OT--e a Ty: i alu:e uetefrlrne <br /> '- nquished by: (Si nature} Received by: (Signature) DatalTime <br /> L Relinquished by: {Signature) Received Mobite'Laborator lot field anal srs (Signature) Da18lTimB <br /> by y y ' :t 9 ) <br /> Dispatched by: (Signature) DateMine - Received for LBbOFRIOry by: <br /> Dale/rima <br /> 'n Method of Shipment: ++11++}}4 Labor 10 #deme <br /> IfU'�ti r !l i r+rbr I �r •� <br /> {1 Special Ins trucli I hereby artihorixe the performance of-lho ahovo Indicated W06u <br /> * GOOD �N��`OM "/ P R IPFI i <br /> HMO SPACE AMMS <br />