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4A k CHAIN OF CUSTODY RECORD i <br />= Geological Audit Services , Inc . <br /> Enl'ironmenta Pro%ssiona/s Date 10'-1 $ -Cfq Page of <br /> son~ 1803 West March Lane. Suite A. Stockton. California.95207-(209).950.0201 <br /> 3/61 AGASV 4 <br /> ent A I f'-,e Ga ldroh Project Manager <br /> BOb Tests Required <br /> Phone Number <br /> (9.0q) g5'6-0;t6y : <br /> Samplers: (Signature) Invoice: F <br /> i <br /> oject Name C,4Id r0N '5 Murky t ,kWh ?k-C� GeoAudit ® t <br />-- a Client ❑ <br /> S. Tle Location Sample Type <br /> Date Time No. of I <br /> Number Description Water Air Solid Conts. �Q� Notes <br /> Comp. Grnb. <br /> r5E <br /> GQ►��o9i1 e �� l <br /> iP IV <br /> � r. <br /> 1 — rIZ=�O Y ( 5P1-5t5P1-6 <br /> 2 <br /> P� - S <br /> 570Ckf,1+ , E ►z:�s�' � I co„7pos�l� �.:I <br /> 6 <br /> 17+ :30 -- _ X I 5F-. -5 45P.1 -6 <br /> 41728 <br /> I <br /> !01 41729 t <br />�k a y: rgnalure I <br /> o Ivo atur' T S7clACldi,4 T.A. 1 . Date/Time !i <br /> r <br />'nquis d : (Sign lure) e�d by: (Si tune) �b—IQ-q4 Iy 1{ti F <br /> C!/ Oate/Ti a <br /> r � i <br /> drnquished by: (Signature) <br /> Received by Mobile Laboratory lot liold analysis: (Signature) <br /> DatetTime <br /> spatched by:(Signature) Dale/Time Received for Laboratory by: Dale/Time <br /> I. <br /> ethod of Shi menta � <br /> A+1% Laboratory Name ' <br /> �•p To Lay � <br />)octal Instructions: H `Cowlbell <br /> I hereby authorize the performance of the above Indicated work. �. <br /> GOOD C6140MIGIM 600 MO ;: is : . <br />