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CHAIN F CUSTo ECORD <br /> Geological Audit Services , inc. Date 3 Page 3 <br /> `� Enfarnnmer�d/Professa�afs <br /> 1803 West March Lane,Suits A-Stockton,California 95207 (209)956.02134 <br /> r <br /> Client 7-f LL1 project Manager <br /> Phone Number <br /> (zG1) 9S'& <br /> ure a <br /> Project Name #/0-0111 Lf�Ixoyr am rs ( <br /> Sample Location Sample Type V No of Tests <br /> Number Descnphon Date Time Comp eGrab Air Solid Containers Required <br /> M <br /> v <br /> e in s e nature) ec iwl;c� <br /> Date/Time <br /> Resin ws y ( ignature) Received by (Signature) Date/Time <br /> Relinquished by (Signature) by Mobil boralory for field analysis (Signature)' Oats/Time <br /> Dispatched by (Signature) Datefr+me Received for Laboratory by DatefT+me <br /> Method of Shipment Laboratory Name <br /> Special Instructions 1 hereby authorize the performance of the above indicated work <br />