Laserfiche WebLink
Geological'Audit Services Inc , CHAIN OF CUSTODY RECORD <br /> En�ironmentalprole$Siona/s I <br /> mob�mrDate_ /V--9y- Page �_ of <br /> 1—Wes,March Lane, Suite A- Stockton, Celirornla-95207-(209)950-0264 <br /> Client S a94 S 39 GL p, l Project Manager <br /> �[ Tests Required <br /> Phone Number <br /> 704 g,5�-dam QN. <br /> Sam rs: (Signature) <br /> Project Name /�/�j? SjiCd/� <br /> l Invoice: <br /> GeoAudk Q <br /> Sample LocationSample Type Clle <br /> Number Description Date Time Water Solid No. of <br /> "0071N A!TT Comp, Grab. Air Conts. Notes <br /> � ! GsA-5 �'7LCO t <br /> 40956 W G,S rlor7x prr N¢sr c,lp <br /> mss" iZ`v0 Y t— <br /> Z S.� Sa�nr err h1E3T �\ I 1 ..t <br /> m s IZaIS� <br /> Moura l�rr, easr crl� X 409 V. i- <br /> zE ee 62 <br /> I 40963 <br /> . r <br /> 11/7 <br /> 11 <br /> Penquished <br /> Y: l lure <br /> ecerva y: i lure <br /> by: (Signature) - C� Date Im• <br /> Recelvod by: (Signature) ✓' py <br /> Relinquished b Y 71 Ar O 1•/Tim• <br /> y: (Signature) <br /> Received <br /> by: (Signature) by Mobile Laboratory for field analysis: (Signature) <br /> Dispatched �r/uK"� Dal•/Tlma <br /> Dato.Time Recelved for Leboralor b <br /> Y Y: <br /> Method of Shipment: Dat•/rlma <br /> Laboratory me <br /> Special instructions: --- y 11 Ctf C <br /> r' •.q ,� adl ( ��� ^ JTNu�.I I hereby au,horiz• th• <br /> performance of lh• above Indleal•d Werk. <br /> GOOD CGNDMGtJJ—__ APFRoppIlTE <br /> He of <br />