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CHAIN OF CUSTOD RECORD <br /> Geological Audit Services , Inc. Date �� ,�-5 Page z 41 <br /> ="'� En�ironmenta Profe.�sianals <br /> MELMIV <br /> 1803 West March Lane, Suite A- Stockton,California-95207-(209)956-0264 <br /> Client G, �� <br /> ProjectManage Tests Required <br /> Phone Number <br /> Samplers: Signature) Invoice: <br /> GeoAudft <br /> Project Name (� {.�,��-K � {, .l ! Client <br /> j Sample Type J 7A / <br /> Sample Location Date Time ! Water } Solid No. ofd, ' Notes <br /> Number Description ! Air Conts. <br /> comp. <br /> j <br /> � f <br /> WO-7 LU <br /> L � <br /> trtquReceived by: (Signature) <br /> DalelTime <br /> Relinquished by: (Signature) J Received by: (Signature) Date(Time <br /> Relinquished by: (Signature) Rec.eiv b Mobile Labor for field analysis: (Signature) Date rime <br /> Dispatched by: (Signature) 0aterTima Received for Laboratory by: Datefrime <br /> I <br /> Method of Shipment: Labors Name <br /> narya <br /> Special instructions: t hereby uthorize he performance of tha above indicated work. <br />