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`-� Geological Audit Services , Inc. C <br /> EIVED HAIN OF CUSTODY RECORD <br /> ��� Enwronment Profe�s�ona/s <br /> W.E s. A- Date IG <br /> -/Z- 3 Rage of tl <br /> 1803 West March Lane, Suite A-Stockton, California-95207-{209}956-0264 date <br /> Project Manager <br /> Client (�pp4 n T'J B #±P Tests Required <br /> Jo N A-n� J"L 4w Ph e Number � <br /> �- c A- Samplers (Signature) ��� Invoice <br /> ��//_ �� <br /> Protect Name MarrloW'� PrO��hT� �,5 ,/"i�`�"'��Xv GeoAudltff IU Client ❑ <br /> Sample Type L <br /> Sample Location Date Time Water Solid No of Notes <br /> Number Description Comp Grab Air Conts <br /> e in shed y ignature gnatu Date/Time <br /> Relinquished by { ig atu e) ei rgnature Date/Time <br /> rgnature) rived by ode Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) Date/Trme Received for Laboratory by <br /> DaleMme <br /> Method of Shipment, Laboratory Name <br /> Special Instructions I hereby authors the performance of the above indicated work <br />