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CHAIN OF CUSTODOECORD :ry <br /> =� Geological Audit Services , lnc. Da1e -3-2A-iOPage of <br /> 1803 West March Lane, Suite A- Stockton,California-95207 -(209)9560261 <br /> for oZ3S l�.` <br /> Cliertt C7t� lr] Protect Man as f 1 Tests Required <br /> LA1 Phone Number <br /> - <br /> } C — <br /> �'"'� Samplers: {Signature) Invoice: <br /> Project Name � i� � GeoAudit <br /> Client E]�q , <br /> Sample Type •`f <br /> Sample LocationNo. of ''V/ <br /> Number Descri tiara Dale Time Water Solid , Notes <br /> p Com Grab. AI( Collis, <br /> s <br /> 34930 <br /> MFt r <br /> 17 34931r <br /> 4 <br /> Lk t 3493 <br /> 71i tushed nalu Received by; (Sig lure Dal ITime <br /> rnquished by: (Sig alute) Received by: (Signature] ate/Time <br /> Relinquished by: (Signature) Received by Mobile Laboratory for lield analysis: {Signature) oalelTime <br /> Dispatched by: (Signature) Date/Time Received for Laboratory by: DatelTlme <br /> Method of Shipment: I ba Name <br /> Special Instructions: , « 1�, 9� �j�;l'kl4frifh i f;j�:fn I her euthorI the performance of the above indicated work. <br /> Mph RUN <br /> uc(InrlT�t,IrhFan-nrti-- <br /> v ,. <br /> I <br />