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Geological Audit Services, Inc. <br />- _ — — EnVironmenta/Pro%ssiona/s <br />111111111111111P®® 1805 West March Lane. Suite A - Stockton. California - 95207 - (209) 956-0264 <br />ClientPro ct Ma� ge <br />C!i <br />Phone Number <br />Samplers: Si nature; <br />Project Name V /f SIL - N2.W7-L--C,4 <br />Sample I Location <br />Number Description <br />no <br />Dispatched by: (Signature) <br />Method of Shipmen . <br />Special Instructions: <br />91ao /Q V - /�• 3 T- '. <br />CHAIN OF CUSTODY RECORQ <br />Date f l�� Page of <br />Date <br />Time <br />- <br />-Woter_ I <br />Cp. 1_Air <br />comp. Crab. <br />Solid <br />No. of ((/ <br />Conts. <br />-16'135- <br />------ <br />x <br />----- - <br />--- ._ <br />x <br />_ <br />)0", <br />� <br />J[tiLYlcla.l <br />Received by: (Sig,pature) I � <br />Received by Mobile Laboratory for field analysis: (Signature) <br />Tests Required <br />/ / Invoice: <br />GeoAudit <br />Client <br />Notes <br />9z/- 099 <br />.3 <br />7 <br />G <br />ss <br />/ <br />Date/Time <br />�4 3%3S <br />Date ime <br />Date/Time <br />Laboratory Name <br />A <br />I hereby guthorize the performance of the above indicated work. <br />