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• CHAIN OF CUSTODY AORD <br /> _�- Ueoloqical Audit Services , Inc. 2�T / ; <br /> ��`� Date T age . _-�of <br /> Envr�rn Prol�staria,Es <br /> 1[103 West March Lena, Suite A-Stockton,California-95207-(209)858-0254 'I <br /> CTieM "40 tJJr Project Manager i <br /> B PAIL--Fr` Tests Required <br /> Phbne Number <br /> J �v' - �`�� C1 Sam rs (Signature) <br /> `t Invoice <br /> Project Name GeoAudit ;f <br /> Client <br /> Sample Location Sample Type j ,/ <br /> Number Descriptiol� <br /> Date Time Water Solid No of Notes <br /> Comp Grab Air Conts. <br /> V) -.`irk r 3 <br /> I <br /> e$nqu$s a $gnat a ece$ve $gnature <br /> J� �D -T- T- Daterrinie <br /> Rem u$she b -' �' <br /> j q y (Signature) Received by (Sl lu(a) r ` J� 2 10 <br /> ,A-1,Q-rte ate ime <br /> fieimquuhed by (Signature) Received by Mobile Laboratory for field analysis (Signature) T _ <br /> 74x9 r.�} L'�L?C7 Date1T$me <br /> Dispatched by (S$gnatura) <br /> Dalerr$me Recewed for Laboratory by Qatarr$ma <br /> Method of Shipment <br /> Laboratory Name ' <br /> Special Instructions <br /> 1 hereb a thork 1 arformance of above indicated work <br /> { <br /> ,y <br /> if <br />