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CHAIN OF CUSTODY #ORD <br /> cE � r <br /> Geological Audit Services , In- - � <br /> v, C , oaten-6 g3 Page of--L- - <br /> - ... Envirt�nmenta Prolessrloyra�(s <br /> 1803 West March Lane, Suits A-Stockton California 95207 (209)956-0264 date C <br /> ,� o Project Manager <br /> Client <br /> Fct `� 5 j ocj' 1 a Vic C� e r v e vi Tests Required <br /> ,�J\y vt h L/(r w Ut`'q Phone NumberBoy 11io <br /> 7 Samplers (Signature) / / %� Invoice <br /> Project Name Bq � j-,\a �,5�r �bu� , �� �Q, � � / � GeoAudit E] <br /> Client <br /> 4 pe <br /> Sample Location Sample TyNo of <br /> Date Time Water Solid ��` Notes <br /> Number Description Comp Grab Air Cants ice; <br /> i <br />. � tnr- � /q� � �- q � -� q-r5-g3� q- ►iDa � � I I � X X � � � l�irec7` <br /> C.l►eVI7' <br /> data <br /> Re, quishe by ignature 1 ` ` eceive y ignnture Date(�rme <br /> Relinquished by (Signature) Receive by (Signature) Date/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field anaiysis (Signature) Date/Time <br /> - <br /> Drsp shed by (Sign ure) Datef ime Receive o aboralor r by Dat ime <br /> /41 <br /> Method of Shipment Laboratory Name <br /> WF5T— <br /> Special Instruchons I hereby authorize the performance of the above indicated work <br />