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Geological'Audit� Services i CHAIN OFCUST YRECORD <br /> Eff <br /> s ' � Czgg Date page ��of <br /> 1603 West March Lane, Suite A-Stocklon, California-95207-(209)956-0264 <br /> Client Mv�e<� suit Project Manager <br /> 3v3 ,uf Tests Required <br /> Phone Number <br /> Zag 9s�_oZ� <br /> Sam lers: (Si ature) fir' trn <br /> Project Name � d}� 5 � �� <br /> X* is <br /> Sample Location Sample Type L� Cum C3 <br /> Number Description Date Time Water Solid No. of 141 <br /> Comp. Grab. Air Co is. '` Notes <br /> x <br /> L.�s 3 <br /> MIW-3 G-L9-9 �G,I- S <br /> x:35 X 3 <br /> ° rs Y- t gnature <br /> Y: ( i alum) <br /> —J a IrM <br /> Relinquished bignalur �,T A 7- <br /> (Sign taro r <br /> C� @ �ate/Tlres. <br /> Relinquished by: (Signature) <br /> He aived obiie Lab glory for field analysis: (Signature) <br /> 01spalched by: (Signature) - <br /> Dala/t'Mwe <br /> UatolTima 11°caiv°d for Laboratory by; <br /> Method of Shipment; <br /> aatetra,a <br /> Laboratory Narne <br /> Spacial instructions: ARW4 dL CG L <br /> I harab�y hoe( fmanc of the Indloated work, <br /> 1 <br />