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+�= <br /> Geological Audit Services ' 1r�C . CHAIN OF COST � RECORD <br /> ��...� 9 ! Date 4ge 4-- <br /> www <br /> _ == Enu�rr�mienta/Prafess�oona,�s <br /> �Now 1803 West March Lane Suite A-Stoeklon California-95207-(249)956-0264 <br /> client + <br /> / � Project Manager <br /> �' <br /> Phone Number <br /> (,Zee?) qZ <br /> re <br /> Project Name /�,� ^J�/ <br /> amp s g <br /> flr , y <br /> l, <br /> 0 "4� <br /> Sample Type No of Tests <br /> Sample Location Date Time Water Air Solid Containers R of <br /> Number red <br /> Description Comp arab <br /> KV-- &)W& < <br /> NlG-ZZ �r I7t,LO- 9-,S <br /> R9+n e ( Hato V ignature Date/Time <br /> Relrnq rshe b (Sig lure) Received by (Srgnatur Date/Time <br /> Relinquished by (Signature) ewed b obrle Laboratory for field analysis (Signature) Date/time <br /> Dispatched by (Signature) Date/Time Received for Laboratory by Date(Trme <br /> Method of Shipment Laboratory Name <br /> Special Instructions I hereby authorize the performance of the above indicated work <br />