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CHAIN OF CUST RECORD- <br /> CHAIN <br /> G <br /> eolo7gical Audit Services , Inc . Date page/7 V1;V1-,qV171, Pf <br /> 1809 West March Lane, Suite A- Stockton, California-95207 -(209)958.0265 <br /> MEW <br /> aZ3s <br /> Project IAanaaer <br /> Client �-(�� '1 l Tests Required <br /> ole S, G LA Phone Number j <br /> ZA <br /> t.�► � �� � Samplers: (Signature) Invoice: <br /> -_ Project Name NY / :/ /GeoAudit� <br /> Client ❑ <br /> Sample TypeSam ie Location on �� , <br /> Date Time Water Solid No. of � / Notes <br /> Air <br /> Number Description Conts. <br /> cpm <br /> p crab. i �t t <br /> - I 34930 <br /> t I <br /> r <br /> r •� �t�� _ -- <br /> 34931 <br /> r <br /> 32 <br /> 3 4 9 ' <br /> T <br /> r utshe natu ) ecerve y: (Signature) at !Sime <br /> inquished by: (Sig ature) Received b (Signature) etertime <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field anslysis: (Signature) DatelTime <br /> Dispatched by; (Signature) Date/Time Received for Laboratory by: Date rime <br /> i <br /> _ I <br /> Method of Shipment: Labotatoly Name <br /> Special Instructions: ,..;� VMS [! i�)ri��l� 3�fii n 1 her aut)rorize the perlormanee of the above indicated work. <br /> GOOD GNOMON it APPROPFIATE <br />