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�-- geological <br /> N� R35 CHAIN OF CUSTODY AORD Audit Services , Inc.� ~ Date 5 Page <br /> ` <br /> ~ <br /> 1801 West Much Lana, Suits A-Stockton,California-95207-(209)956-p261 <br /> r <br /> elf a L aw1'rar7 �; c Project Manager <br /> 90 if ha r�' Tests Required <br /> G r e Riau T Phbne Number <br /> 7-oq q5 6- 0;L6� <br /> Samplers (Signature) Invoice: <br /> Project Name c o mf orl A r .(ten -c ,�,�., <br /> �� � GeoAudd <br /> a� � , Ciieln ❑ <br /> Sample Location Sample Type <br /> Number Description Date Time Water Air Solid Ca <br /> n of IN <br /> 1 Notes <br /> comp Grab <br /> prom )0 '70 <br /> X Cowt ol"Te <br /> PruM o•.:L7 y( l <br /> I Qrui+l to <br />�1)ru»1 3 10 3p <br /> Dru rn 10-3 1 <br /> Druwt y i0: 33 <br /> Druwl i o. 3;- <br /> X � <br /> mquta e y,4ignamre city/ y (Si aturo�l 5�(f N q rYT Oats/TimeRaitngtnahed by (S gnatttre) , j Z; q i 117=Qv <br /> Received by (Signature) oatornme <br /> I <br /> nauishad by (Signature) Race hr id by Mobile Laboratory for field analysis (Signature) I � 34� L� t <br /> ` i <br /> ois itched b I <br /> p y (Signature) Oatelr�me Received for Laboratory by 34018 <br /> 404B <br /> Method of Shipment- <br /> y--1-'4 e <br /> hipment-y;rhe Laboratory flame <br /> pecial Instructions C, SI^ r t (amil h4(! <br /> pRr,,Ep��,?t1J! I hereby authorize the Performance of the above indicated work. <br /> SPACE 'zEWT' � roldTA]tiLR,c-"%Owo" <br />