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M M*,,HA1WOF"ST"*"bR1" <br /> Geological Audit Servic s _ <br /> _ e , rl c . Date 6 1 q Page 1 of--L�, <br /> —�� Er�vi�nmenta Prnnfessnona,[s <br /> low 11803 West March Lane Suite A Stockton California 95207 (209)9$6 0264 ' <br /> Client fi Project Manager <br /> MaY � <br /> Tests Required <br /> Bob <br /> Phone Number <br /> Samplers (Signature) / N, Invoice <br /> GeoAuctft <br /> Protect Name Pq r s Zi t 5 p Yt 5 M i n e y Ave - 74,� <br /> Client <br /> Sample Location Sample Type / <br /> Date Time Solid No of �� , <br /> Number Description Water v V Not <br /> p comp Grab Air Conts �4� Notes <br /> T5 G I- q3 2; ro x <br /> 5 P <br /> Relinquished y (Signature) eca�ve y rgnature Oate/Tims <br /> "T A G'f-Y3 <br /> Relinquished by (Signature) Received by (Signature) Date/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> I <br /> pispatched by (Signature) Date/Time Received ro L 4ratory <br /> I <br /> Method of Shipment -I= 1 Z74: <br /> Ltabo tory Name <br /> Special Inalructrons f hereby authorize the performance of the above indicated work <br />