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iIN <br /> E - <br /> CHAIN OF CpUSTUDY RECORD <br /> Dace <br /> _ ZLZPage __('of — <br /> Geological Audit Services, Inc. <br /> — =_ Envirr�nmenta Protcssion�'�s <br /> i203y 95"264'1803 Wast March Lada,Suife A•Stockton,Cafifarnia-95207• <br /> p{oy PAartager Tests Required <br /> Com.-r•G��- / <br /> Client $G, ��ir 2M� /fit• / <br /> ?hone Number [1 <br /> eu. zoo -9S6�o'' 11rInvoice.* <br /> i mp <br /> Saers:(Signature) r` �k Georwdit S <br /> • /� +° � � Client Elf <br /> Project Name � l'wtl�=1�s <br /> Sample TypeNo.of <br /> Location ��e� Notes <br /> LocaSolid Date � Time Water I Air Corns. <br /> Sample <br /> Description Comp. Giab. � f <br /> Number Z�L <br /> 30 4 J` <br /> k 1 <br /> _�t_i. pateflime <br /> jI c �y <br /> �—v� ec ve { � naruog7 5���11" U•�S <br /> �, by: ro L l7alef7ime <br /> (Signature) Receive by:{Signatures <br /> Relingwshed by: l 9 ) DaiefTime <br /> Retro Buis had by:(Signature) Received by Liobile Laboratory for field analysis:(SipnaWre) <br /> paleffima <br /> �OntelTirne <br /> Received for Labo:atary by: <br /> Oispalchad by:(Signatures <br /> Laboratory Nemu <br /> ►lelhod of L.lipmem: <br /> he above Indicated work. <br /> 1 hereby authori=e iha perlormancs of t <br /> Speciallnttruc6ans: <br />