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rife rites trrrrrrrrr� t� � t� Ufa 1w � ttlllliw � �_ � 1♦ --_ � � <br /> CHAIN OF CUSTO 1F RECORD <br /> Geological Audit Services , Inc. r. <br /> 9Y77En�r: mentalPrra�ss►l�a/s Date , 7 'q`� page <br /> } of—� <br /> Bob" 1843 West March Lane,Suite A-Stockton California-95207- { <br /> NNW (209y 958 0284 <br /> Client E 1J (7�`re k l Project Manager r <br /> Ro b KI r 7' Tests Required <br /> Phone Number <br /> (;.off 15t -oa b LI <br /> Samplers, (Signature) � invoice' <br /> Project Name M , — CC( f act s i VI9 - -, 1 �'� <br /> GeoAfidrt LN <br /> fi- Client ❑ <br /> Sample Location Sample Type <br /> Number Description Iq Date Time Water Solid No of <br /> Air Conts Notes <br /> Comp drab <br /> Mw- 9- r-qy <br /> x 3 X ,� t <br /> e <br /> M w -), /7- 7--q,i 11 : 3o <br /> X x i <br /> /J <br /> / t <br /> r4 <br /> r <br /> it <br /> � 3 <br /> q q <br /> ,f t <br /> e inq fished by [ rgnature y r nature <br /> e erne r <br /> ra�avt da� T. 6_ r „ UaielTlme <br /> �'-j-Y►f r y�D(� <br /> ru4s (Srgnat a) Rec by (Si nature) <br /> Date me <br /> rgnature) <br /> Ree ed by Mobile Laboratory for field analysis (Signature) Da /Time ,f , <br /> Dispatched by (Signature) Uete/Tlme Race ved for Le oratory by <br /> OetelTime +� <br /> Method of Shipment h <br /> LaboratoryName <br /> ' rq t�5 c "�� �: &a"IY'` " �T= 0 ` Camp b-e1 � rF <br /> Special Instructions �-► J ,� , , r <br /> f hereby authorize the performance of the above Indicated work r <br /> r o th <br /> HDD SPACE ABSE_14T COQ AINCRS �_ <br />