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Ge <br />=_ OlOgicai Audit Services, Inc. <br />M' EnYironmenta Pro%ss�ionals <br />1803 West March Lane. Suite A - Stacklon. California - 95201 - (209) 956-0264 <br />tQ CHAIN OF CUSTODY RECORD <br />l Date 912-0114 page /_ of <br />Client Ctap fun k hT j Project Manager — <br />Phone Number <br />vaml. ers: (Signature) <br />I � t� <br />Project Name az,J1-14Q uel <br />ample <br />umber <br />i <br />t <br />'t Sample Type t <br />Location 1 � No. of <br />Description Date Time ' y�%�;;Pr — f Solid <br />I ; Curnp. i crat; Air Cents.oe <br />Iel10qursired by. (Signature) <br />pig✓✓t. �'fi� r <br />.•t <br />Rallnqurs)�ed oy: (Signature) <br />Dispalchea oy: (Signature) <br />d <br />Q, Metnoe or wupmenl: <br />( <br />1T5 Spacial In Dlductlerl3: <br />I <br />by: (io9na:ure)/_ <br />by: (Signalote) <br />(Received by Mobile Laboratory tot <br />7- <br />4q C8o� <br />analysis: (Signature) <br />ame • licccived for laboratory by: <br />I <br />"� Tests Required <br />Invoice: <br />j GeoAud4 <br />Client <br />Notes <br />67-- /- <br />Unto!; M" <br />I OelelTtme <br />I UaterrKwe <br />i <br />I <br />oelefTione <br />Loboialory Name F;119 ALWIXIZC� <br />1 hereby orize the paslorrnonce of the above indicated vowk. <br />