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UNROOF <br /> CHAIN OF CUSTOD ECORD f <br /> �� Geological Audit Services , Inc. �_ro -aq <br /> �7 <br /> Env�r�nmenlalProfess,�onafs Date Page t 01 <br /> :� 11103 Wast March Lane, Suits A- Stockton California-95207 (209)958-0264 <br /> r <br /> Client (�pwtK p fan Project Manager <br /> BOY Mar),,[ Tests Required <br /> Phone Number <br /> P-Oq) q 56 -1 <br /> Samplers (Signature) <br /> Invoice <br /> Protect Name /OeoAuda <br /> Client ❑ <br /> Sample Location Sample Type <br /> Number Date Time No of 5° ��' <br /> Description comp Water <br /> Air Solid Conts /,4/� Notes <br /> Mw,1'4/34 -q <br /> 7eed <br /> Y ( igna e) ecewe y (Sig to <br /> u ) <br /> 5DatefTtme <br /> R lin umh by (Si lure I <br /> [C 9 } by ISS na ) �j l&/9� <br /> Date/Trms <br /> Relinquished by (Signature) Recei d by Mobile Laboratory for field analysis (Signature) 3 �o <br /> DatafTrms <br /> Dispatched by (Signature) DateleIIIeTrmceived for Laboratory by <br /> DatefTrme <br /> Method of Shipment <br /> Laboratory Name <br /> Special Instructions 21 <br /> 0 ANQ` )f Cq, <br /> I hereby aut prize the performance of the above indicated work <br />