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■..t. �� ttll� ltttttttttt! films tib L• � � i_ � � � � � <br /> 4111 CHAIN 4F CUST �RECQR�� <br /> �,.. Geological Audit Services Inc . Date -rs -� �l Pae 3 <br /> �7 E.7W1Vnmenta Prnlessiona/s ' 9 of <br /> 1803 West March Lane Suite A-Stockton, California 95207-(209)956 0264 <br /> Client �� Sl�o Project Manager Tests Required <br /> havylt -�bqvCvw1 <br /> -7 0 b N. IEL D0 9*J)() STAT Phone Number <br /> 2oq)`1Sb-Oab 1( <br /> l-K-TON C.(Ar 9 SZo Z Samplers (Signature) o Invoice <br /> .GG� GeoAudA <br /> Project Name �G,,-�, �W., -�AYC✓!n ���. `fG/ <br /> ��-�-v s A-u�o ��e�12 <br /> / Client ❑ <br /> Sample Location Sample Type �4) <br /> Number Description Date Time Water Solid No of 4?, p o` / Notes <br /> Comp Grab Air Conts / � �/ �/ <br /> Y- <br /> NS 1-}I-g 8 4 Sr Y- <br /> ;'-11-9y C7 : 01 �` 1 <br /> e i qu by (Signature) <br /> Received rgnature Date/Time <br /> Reirnqurshed by (Signature) Receive by (Signature) Date/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) <br /> Date/Time <br /> Dispatched by (Signature) Date/Time Received for Laboratory by DatelTtme <br /> Method of Shipment Laboratory Name <br /> Special Instructions I hereby authorize the performance of the above indicated work <br /> I <br />