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CHAIN OF CUSTODY*-COFP : . . <br /> -� <br /> Geological ical Audit Services , inc . Date - Page sof <br /> _ —'_'—� EnYimnmenta Pmfessiona,Cs <br /> Irn►IrI 1909 Weal March Lane, Suite A-Stockton,California-95207-(209)956-0264 <br /> r <br /> r <br /> Project Manager Tests Required <br /> Client L� tN z 1�e� L c t� lie v e l o ,►M r�T _R4, MO VI <br /> Phone Number <br /> aoq ya 6- o�26 ` <br /> Samplers: (Signature) Invoice: <br /> �' p' M� /eoAudil <br /> `�'�-c w v ! Client LJProject Name ewel,e �`'-�f'{"^ /Lq i <br /> Sample Type / <br /> Sample locationNo. of /p'� .� Notes <br /> on <br /> p <br /> Number Description Date Time Water Air Solid <br /> Comp. Grab. <br /> AV W- I A� .. 1�{ -�{� �.,�►t-�� 1�= X l X X 0. sr <br /> vIV --5a 114 -Cfq <br /> l6 Did Y 1 Y <br /> MVV- I <br /> iy�av x <br /> ' x <br /> Date(Tlme <br /> Relinquished y: ( +gnalure} ecewe y: ig Lure) � <br /> + L 1 <br /> DatafTime <br /> Relin uished b Si nature Rec fired b Signature) • <br /> q Y� ( 9 } Y� t g } <br /> DatelTime <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis:(Signature) <br /> I <br /> I <br /> DatelTime Received for Laboratory by: Data/Time <br /> Dispatched by: (Signature) <br /> Laboratory Name <br /> Method of Shipment: <br /> 1'91 r Tt1k!L r, <br /> I hereby authorize the performance of the above Indicated work. <br /> Special I nstruCI1003: <br />