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�. .■.t. a...■ attatatatr tattattate � flllllllll� ww ■� � r� .. <br /> G e o I CHAIN OF CUSTODY CARD <br /> ogical Audit Services , Inc . <br /> �� Ern�irz�nmenta Profess�onafs �R <br /> 1803 West March Lane, 5uita A- Stockton California 45207 (209)958-0264 Date 317 7 ' Page --L- of <br /> Client o im-Q m T Protect Manager <br /> Qob MdrTests Required <br /> Phone Number <br /> (Aoq) 95�6 .4zb Ll <br /> Samplers (Signature) <br /> Protect Name , - ! y / Invoice <br /> qT" GeoAudst <br /> Client Cj <br /> Sample Location Sample Type �� <br /> Date Tfine <br /> Number Description Water Solid No of <br /> Com Grab Air COF1t5 f Q�/ , Notes <br /> Comp i <br /> w - <br /> 1 /3 - 2.7 (7 ,� to I ( x <br /> r-- 3r33� <br /> e u he y ( rgn ture) eceive y ignature <br /> L�:E <br /> DatslTrml p <br /> e inquished by (Signature) Re rved by Signatu ) 11,t <br /> • <br /> G D te/Time <br /> Relinquished by (Signature) %�/�� / C?,( <br /> Received by Mobile Labo atory for field analysis (Signature) 1 <br /> Date 111111I <br /> Dispatched by (Signature) <br /> Dal <br /> Method <br /> Received for Laboratory by <br /> DateMme <br /> Method of Shipment <br /> Laboratory Name <br /> Special Instructions G P-0 A oa Ti C <br /> I hereby authorize the perlormance of the above indicated work <br /> f <br />