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CHAIN OF CUSTOP <br /> Geological Audit Services , Inc . _ <br /> ElREco�o <br /> 7Y�ronMEnta/PrOfOSS1ona/s Date 3' ��� Page Of <br /> mw <br /> 1803 West March Lane Suite A Stockton California 95207 (209)956 0264 <br /> r <br /> Client �j 1"( Pr sect Mana er <br /> Tests Required <br /> Phone Number <br /> 00) <br /> Samplers (Signaturp) /� invoiceProject Name (�� w� K� i GeoAudlt <br /> Chenf ❑ <br /> Sample Location Sample TypeNo <br /> 3 �' <br /> Number Description <br /> Date Time Water Air Solid Contsf--— /1C�\� % i ,� Notes <br /> Comp Grab f / / <br /> 614 q o � ' — <br /> q LK <br /> 11 i 2 <br /> qi i-�15 <br /> "P9 - �-3 vw,6 1+ �y <br /> x x <br /> "'P Ct 10 <br /> Rel ishy ature) Fiecei ed by t re) �7 1aMda -H.T, Dale/Time <br /> T <br /> elinqur ed by (Signature ece ved by (Signature) I <br /> DalelTrme <br /> Relinquished by (Signature) Received by Mobile Laboratory Ior field analysis (Signature) DalelTrme <br /> Dispatched by (Signature) Datellime Received for Laboratory by Date/Time <br /> Method of Shipment Laboratory Name <br /> Special Instructions I horeby authorize the performance of the above indicated wotk <br />