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— — tt� tf• fiflilififflf Ilf� t1f11� . ! (lflffffffff� Ifffffflflfw It11lf� 1� 11• <br /> 4C IF <br /> Geological Audit Services , Inc, CHAIN QFCUSTOD ECOR7 <br /> En�/ronmentaProfessiona�s Date !L 7,a Page r' of <br /> 1803 West March Lane, Suite A- Stockton, California-95207 (209)958.0264 <br /> � 1 n <br /> fvf <br /> Client G e �,k 1d >Mph Project Manager <br /> ��� c aQ � M ctrl Tests Required <br /> Phone Number <br /> (aoa) gs6--o,26I.f <br /> Samplers (Signature) r p� / Invoice <br /> Protect Name /GeoAudn 12 <br /> d r Client ❑ <br /> Sample Location Sample Type '' <br /> a� r <br /> Number Description Date Time Water SolidNo of Notes <br /> Comp Grab Air Conts ��'<> / ' j <br /> I <br /> e r ui e Y ign ure <br /> e Y (-Sig F7Wq <br /> e/TimeR nqursh by (Signature) i <br /> �•� R �y (1i gna ure) <br /> J Oats/Time <br /> Relinquis ed by (Signature) Received by M its La ratory for field analysis (Signature) r t� <br /> ate/Trme <br /> Dispatched by (Signature) DatelTime Received for Laboratory by <br /> Date/Time <br /> Method of Shipment Laboratory Name <br /> Special Instrucbons <br /> 1 hereby authorize the performance of th above indicated work <br />