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CHAIN OF CUSTODY RECORD . <br /> =E Geological Audit Services , Inc . <br /> r <br /> =T= Ernirw>rnen/a pro%ssrona(s Date Page of_� <br /> �� 1603 Weal March lane, Suite A- S'tockbn, Callfmnia-95201 (209)956-0264 <br /> r <br /> +� Project Manager <br /> :tient ]jot�ilo�I �ey >r'Icp ?��tlio� Ai vn ILVKb e Tests Required <br /> Phone Number <br /> 4S6 -- o;.6 <br /> Samplers: (Signature) \ Invoice: <br /> roject Name -1 ��p yes h/. /,_ ao GeoAudit <br /> pQr �On�Rinpy� ,vk/""'+t'r^"1 ����, / Client �} <br /> Sample Location Sam pie Type <br /> Number Description Date Time Water Solid moo. of � a / Notes <br /> Comp. Grab. Alf onts. <br /> Y i <br /> e[nq_ vie <br /> ed b,: 'Signature_ ocm- y: rana-- <br /> r� �l�-•T- A'T 11^�glelTilme <br /> elinquished by: (Signemre) 4 ` 7rw <br /> Neceived by: (Signature) <br /> Dale/Time <br /> Relinquished by: (Siyna[u[eJ <br /> or <br /> -field analysis: (Signature) -Bnteliima— <br /> Dispatched by: (Signature) DatelTtme Received for b al y by: <br /> _-- It Oate(Tune <br /> l-7:50 <br /> Method of Shipment: laboratory Name <br /> Special lnauucdonx I ho[aby allth Otile ehe performance of the above indicated work. <br />