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• CHAIN OF CUSTOD ECOPD = <br /> =' <br /> Geological Audit Services Inc . - -� <br /> r Date Page of . <br /> Enri�nment&Pml�sst�nafs <br /> •� <br /> �# 1803 West March lane, Suite A- Stockton,California-95207 •(249)958-0261 <br /> Jt• <br /> a�� y <br /> ClientProject Managef <br /> ���./� Tests Required <br /> 09 9 5(o 240 <br /> 5. �- Phone FJumber <br /> �. �. t— ISamplers: (Signature) / . � Invoice: <br /> � <br /> j GeoAudit <br /> Project Name / ,l i ;�— Client ❑ <br /> Sample Type <br /> Sample Location Solid No, of ;�N �i� <br /> Time Water f 4 34923 tl <br /> Date <br /> Number Description Comp. crab. Air Conts. <br /> 3 2.ZsA � 34924 <br /> r- <br /> �N- 3 �; 7 t 34926 f <br /> '] 3 4 9 2 6 <br /> 7 34927 <br /> .rp �-� 3:��r►rt 34928 ` <br /> M r I'll ff 0 <br /> 34929 <br /> �r 4:3d , <br /> e quis e i nature) _y ece nature) <br /> n1 rA__ �.� � ate/T' e <br /> nq shed by: (Signature) Received by: (Signature) Da elTime <br /> Relinquished by: (Signature) Received by Mobile Laboratory lot field analysis: (Signature) DalelTime <br /> Dispatched by: (Signature) Date/Time Received lot Laboratory by: DatelTime <br /> Method of Shipment: Laboratory Name <br /> Special Instructions: If,.; f k � Il+'C)I riiaYlitl' (i " I hereby authorize the performance of th above indicated work. <br /> G9G CUM]ff �LtiRl�Phl�; <br /> I <br />