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0 CHAIN OF CUSTODY RECORD <br /> Geological Audit Services , Inc. Date z�age �� <br /> �- 9 --- <br /> �� En�rrxrmer�a/Pmfess�ads <br /> March Lane Suite A Stockton,California 45207-(209)956-02" <br /> SQ✓D PILL rvD xq-sa s <br /> Project Manages <br /> Clienti7 C-sD"r�l_[_l top F;o-& M <br /> P D 50x .55(03 Phone Number <br /> 5-� � CA q5 Zoe (zoo) 956-02-64- <br /> Sam er5 i r}ature <br /> Project Name M 1p-� Lttsrjicm <br />� Sample Location Sample Type No of Tests <br /> Number Description Comp <br /> Time Water Air Solid Containers Required <br /> Comp Grab <br /> pal 109-d 8T <br /> V.1/5/47, <br /> TcGP-6T f <br /> MCIA <br /> rr �I j Z 1 <br /> �! , ! a <br /> --Relinqua atureec ve Y ( i9nature 12 P/L�W v;)4 MSvL� 70 Date(rrme <br /> A r) <br /> R i qui d yVSsgna�tu ) Received by (Signature) (��At)Df17 a7 M Date(Time <br /> Relinquished by (Signature) ! Jeived by MdUile Laboratory for Irel nalysis (Signature) ASA10. DatelTime <br /> 100 <br /> Dispatched by (Signature) DatelTime Recewed for Laboratory by Datafrrma <br /> Laboratory Name <br /> Method of Shipment n <br /> NVQ <br /> I hereby authorize the performance of the above indicated work <br /> Special <br /> Instructions <br /> s 1 <br />