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CHAIN OF CUSTOD*ECORD V <br /> 45;t Geological Audit Services , Inc . Date 3-- 15,'Q5 Page of <br /> Ene/ironmenta/Professiona/s <br /> 1803 West March Lane Suite A Stockton California 95207 (209)956 0264 <br /> Client D Project Manager Tests Required <br /> $ob m4rX <br /> Phone Number <br /> (2oq) g5'(--0)_13 <br /> Samplers (Signature) invoice <br /> �� GeoAudlt [4 <br /> Project Name zvt! -� ,24-x I��7 /�i ��� Client ❑ <br /> Sample Location Sample Type No of <br /> Number Description Date Time iter Air Solid Conts //4 Notes <br /> Comp <br /> 5 n VW-6 3,I -u5 1 ;3U X X <br /> I <br /> i <br /> Relr he y ue) ecey rg Date(Trme <br /> 11 <br /> R hnqursh by (Signature) Recerved by (Signature) t^[( 1 f Date/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) DalelTrme <br /> I <br /> I <br /> Dispatched by (Signature) DatelTrme Received for Laboratory by DatelTrme <br /> Method of Shipment Laboratory Name <br /> 40 (,kfwN <br /> Special Instructions I hereby authorize the perlormanoe of the above indicated work <br />