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2 <br /> �wZ CHAIN OF CUSTODY R—ECO�R, <br /> DGeological Audit Services , Inc . 7-16 - g )i Date Pae � of <br /> 1903 West March Lane, Suite A- Stockton, California - 95207-(200)996-0261 <br /> P— <br /> — Project Manager -�-.�-----� <br /> Client Fq I c o m �m 4 tv __`-— -._— of c C j1 p rr �c f> ��ts:R�uired <br /> -- — -- -� Plione Number <br /> Samplers: (Signature) /Invoice: <br /> Project Name �. �j 4 -i 7 ,,.1 7.1", GeoAudit <br /> �a r t f i C r j u vh h r1 / 'n1 C 'Lr <br /> ---- -- �hy� - �/ Client i <br /> Sample Type <br /> Sample Location <br /> Number Description Date i"ilne ___ Water A{r Sc}lid No. of /q�` ,,� Notes <br /> CC ntS. f't�� f .� <br /> \ 5Pr � - <br /> S 'P- <br /> 5P <br /> �-'- <br /> C 5 P <br /> �5 P <br /> Relinquished y; ignature eceive ; ignaturo -- -"— - <br /> ,, ,• Date/Time <br /> .� � •' 43 t <br /> Relinquished by; (Signature) RacoiveJ by: {Sign tura:}- --�--� <br /> 7. <br /> Relinquished by: (Signature) M;Coived by MUt71ld LTLbur Iniy fur fiald analysis: (Signature) Date/Time <br /> Dispatched by: (Signature) 0 <br /> 0 <br /> ta/1Recaivad for taboratoty hy: ~- <br /> Oat?/Time <br /> Method of Shipment: - Laboratory Name <br /> — -------- ----— _I p u s�.�j <br /> Special Inslruaionr. -- I heroby sutfroriza the performance of the above Indicated work, <br /> K <br /> r —� - �F r .- v « .. .. _. _ _. �T- ^`�•-•`_ _�--_ --__. --�a.r..0 �. ..-*r w .�-..�_." _ +-r.�:..r-.- ��r.�-�...._�—T -vr�r�� - � ". �y <br />