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� � � � � t� � � � e� int,• �� ssssssE �� ats�e <br /> CHAIN OF CUSTODY ORD <br /> =_ L-keological Audit Services , I c. Date - 3 Page —L of <br /> �_ Ernarr�nmen Pral�ss�a,Es <br /> 1903 West Match Lane Suits A-Stockton,California-95207-(209)956-028i <br /> s, <br /> ClientProject Manager <br /> 90/544�/, Tests Required <br /> Phone Number <br /> j <br /> 71:57 17 f.0 -672-4 , <br /> Samplers (Signature) , Invoice <br /> aw6uotil , 2 � GeoAudit 9 <br /> Project NameClient ❑ <br /> Sample Type <br /> Sample Location Date Time Water Solid No of Notes <br /> Number Description comp Grab Air Conts tt <br /> 32509 � <br /> 1G- ?-- 32510 <br /> h � <br /> $2 '3 /a- v 132511 <br /> t <br /> 1 <br /> GO CONDMON ✓ <br />� I <br /> Rai Imgws y ign tura Received by;(7S' re +-4 T Date rime <br /> Relinquished by (Signature) Received by (Signature) DateRme <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (&gnature) OatelTime <br /> Dispatched by (Signature) OatelTime Received for laboratory by Datemme <br /> Method of Shipment; Laboratory Name <br /> Special Instructions- t hereby authorize the performance of the above indicated work <br />