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4C LLM14% -M CHAIN OF CUSTODY CORD <br /> Geoloy' <br /> '7%ical Audit Services , nc. Datel:17-..q) Page 2— <br /> 'E77 VO/0'Wf <br /> JW4W 1003 WOO March Lane. Suite A- Stockton. CalifOfflk-95207-(20)956.0264 <br /> LJ <br /> Clam Proiect.Manager ILI <br /> �o6 flael Tests Required I_.) <br /> F" <br /> Phone Number ' <br /> Samplers: (Signature) z <br /> Project NameGeoAu6t <br /> V <br /> Client (-J <br /> S <br /> ni pie an iple Type 'A' )/(k4ll <br /> Location <br /> No. of <br /> Dale Time er Solid <br /> Number Descriptiall k Notes <br /> Air /A <br /> W�il <br /> -q a�4 <br /> iw-lqlq- 27 <br /> 4 <br /> 0 <br /> ih <br /> T*Mz4p-p T-A� -5 <br /> elinqui hod by. (won I e) re C.0)041 by: lqnatur@) L — <br /> W;14uithed by: (Sl9naWce) ILI <br /> ReciAvad by Klobila laboratory for field <br /> CI <br /> ispatchad by: (Signature) DatafTitne Received for laboratory by: -1 <br /> --I 9thod of Shipment: <br /> JCF <br /> Jr <br /> GUMr le olrucoons: APPONTE I hereby author) a th <br /> COWANIM Of Of mance oft above Indicated work. <br />