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CHAIN OF CUST <br /> O�RECORD <br /> 0 <br /> 45;s Geological Audit Services , Inc . - Is-qs � <br /> E17YIronm0n4a/ProfOSS10na Date/s Page of <br /> vMW- <br /> Inv 1803 West March Lane Suite A Stockton California 95207 (209)956 0264 <br /> r <br /> Client G L, JD 11 Project Manager <br /> 15 <br /> b r..{a, Tests Required <br /> Phone Number <br /> 20,151 - q56 OZ64 <br /> Samplers (Signature) �� �� f Invoice <br /> Project Namer ewe e-, f Geo Client <br /> Sample Location Date Time Sample Type <br /> Water Air Solid Contsj / / <br /> No of <br /> Number Description Notes <br /> Comp Grab f / �/ / <br /> P? - 2� 29 s l 4.25J <br /> --,-p 6 qty <br /> rr � � x � <br /> ilk 0')rJ <br /> A' v <br /> ture} lecelved <br /> y ( ig 1 j Date/Time <br /> c,1a- rLf,-J tA.1ture) <br /> by (Signature) Delellime <br /> Relinquished by (Signature) Received by Mobile Laboratory for held analysis (Signature) <br /> Dale/Time <br /> Dispatched by (Signature) Dale/Time Racorved for Laboratofy by <br /> Dnlefiime <br /> Method of Shipment laboratory Name <br /> (7 zo U"41 <br /> Special instructionsI hereby authorize the performance of the above indicated work <br />