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CHAIN OF CUSTOD ECORD <br /> ti &oi — gical Audi# Services Inc. �_ ,�q� 7 s Date Page of <br /> — =�� En�irt�meata Prof�srona�Fs <br /> =�wti11111111�w <br /> 1803 West March Lane, Suite A-Stockton,California-95207-(209)858-02B4 <br /> Client Project Manager Tests Required <br /> Vic ('I Qry-eh <br /> Phbne Number <br /> coq • 4� 6- 0 �6+� f-'r <br /> Samplers: (Signature) �� Invoice: <br /> GeoAudit <br /> Project Name Ar'r5 + Arti s� <br />� f � Client ❑ <br /> Sample Location Sample Type No. of '�1 / <br /> P Date Time Water Solid Q Notes <br /> Number DescriptionComp. Air Conts. <br /> Grab. <br /> vw- )/12,1 -43 /.-I/ I��r 7-�r �-. 5'p <br /> WW- <br /> 1 <br /> Ww', 4Y / 33D 3'f?0p X <br /> VW-r/, 5= f7 <br /> I <br /> Relinquished y: (Signature) Received y: (signature) a }z' Date(Time <br /> Relinquished by: (Signature) Received by: (Signature) Date ime <br /> I <br /> Relinqu�s y: ignature) Received by Mobile Laboratory for field analysis:(Signature) Date/Time <br /> ispatched b re Date/Time Received for LaboAatory b ' Dat ITime <br /> f <br /> 2-11 <br /> rrZ�0 <br /> Method of Shipment: a at r Name <br /> 1-7 5 <br /> Special Instructions: I hereby authorize the performance of the above indicated work. <br />