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t t i t � � t t t t r! t ► i <br /> CHAIN OF CUSTODY RECOR.O <br /> 02z=,-- Geological Audit Services , Inc. Date �-� - Page of _sVAN � <br /> — EnYironmenta/P�ofessbna/s <br /> 1803'Nest March Lane, Suite A - Stockton, California- 95207 (209)956-0264 <br /> ni + co:'k , y — -- Project Manager <br /> • Tests Required <br /> Phone Number <br /> Samplers: (Signature) invoice <br /> jest Name � (l:ti �. looi �c <br /> h i n t �. v t t c r✓ y t h , GeoAudit <br /> `� Client [? <br /> 0. <br /> 3ampfe Location Sample Type No. of �'� % <br /> Date Time Water Solid `� 0 ,O- Notes <br /> dumber Description Comp Grab. Air Conts. ��� / , <br /> ;ws a y: ignature) ecerve y: lure) <br /> (( J Date/Time <br /> "L'l ��T,r�i[�� `- `� �/�.l!TC7Y'c� j �ET . 7-EI-•'�� it``�-7iai <br /> luished by: (Signature) R rued by: (Signatu Data/Time <br /> luished by: (Signature) Received by Mobile Laboratory for lield analysis (Signature) Date Time <br /> ched by: (Signature) Date/Time Received for Laboratory by: Date(Lima <br /> d of Shipment: Laboratory Name �f <br /> \ `) <br /> it Instructions: t hereby authorize the performance of the above indicated work, -- <br />