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_ i � MAINOF CUTODY CORDa <br /> -=,`� E eD�O tical Audit Services Iola Date t '� ,q14 Page _� <br /> Cg ' <br /> � 1803 West March Lanai, Suite A 8lockion,California-25207-(209)954-0204 <br /> r <br /> Client Rob VP7 p�, , I!i Project Manager <br /> $off, tlq,-U I <br /> Tests Required <br /> Phbne Number <br /> �,Oct q h 6 -0).6Lk <br /> Samplers (Sign jiture) Invoice <br /> PrD)ect Name t_dC Ih,Tor clii u�� Cpv� GeoAudit G� <br /> Ghent ❑ <br /> Sample Location Sample Type No al �� // <br /> Number Description Date Time Water Solid j Notes <br /> Comp Grab Air ContS ! �l <br /> i i � <br /> tiW-1 -q Ll I-)-d•qq I3* c113 3 F , 34029 <br /> f <br /> 13' 10 x 1340.1 1:s�►.;t i <br /> 11 <br /> 1 x 4 3 <br /> Ntw• 5/I-�6 •Y �� �� -s �, ,� 3 � 1 , ~ 34Q3,'i . ; <br /> Y <br /> i 34034+a�- <br /> M '` 6�1'1t •��`1 �l 13'3C) <br /> ll <br /> J50sawshed ecarve y gnat" p <br /> A <br /> �r � I � c,��vtC�d Mi� �-!1 T_ Daia/Tima ' <br /> Relinquished by (Signatu(e) r <br /> Received by (Signature) i DatrlTime <br /> i <br /> eilaquished by (Signature) Received by Mobile Laboralary for held analysis (Signature) Date/Ti;- <br /> .-Dispatched by (Signature) Dateffirria Recewed for Laboratory by <br /> Oatefrime <br /> Method of Shipment <br /> Vogl J)&G+Jf1kJO1i Laboratory Name <br /> M`CJuI be i <br /> Special Instructions <br /> _ <br /> GOOOC�D� - PRU�7GIATL -� I hereby authorize the performance of the above indicated work <br /> �� ONO - <br />