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Militia!. rwaf lily �w a was was ra•t�1 - ~� �7(�7 �� <br /> CHAIN OF CUSTODY ORD <br /> =-� Geological Audit Services , Inc. Date )?-q3 . Page mot- L_. ry <br /> z�-_� Ern%►rranment Pml�sila7a�s <br /> 1503 West March Lane, Suite A-Stockton,California-95207-(209)956 0264 <br /> e� <br /> Client C0mf oir1 Air Project Manager Tests Required <br /> Bob mark <br /> Phone Number <br /> Samplers (Signature) j / Invoice <br /> � u �c� / / // /GeoAudit ® # <br /> Protect Name Lp w1'�DY'�' f�t y, o►>/ ` �� Client ❑ # <br /> b' <br /> Sample Location Sample Type of 4 <br /> No / # <br /> Date Time Water Solid Q ` ` Notes ; <br /> Number Description Comp Grab Air Cants <br /> MwfM /io-i -93 fo-Jg4� Jo. 30 32726 <br /> I <br /> G 0A <br /> EAD S� CE ABS N� CONT N S <br /> # <br /> a inqu s e y-(Signature) cd by n ure Daterl ime <br /> to-;o q 3 ►3.,� 4 <br /> Relinquished by {Signa urea received by (Sig-nature) Dala(Time k <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date(Time <br /> Dispatched by (Signature) Dataffime Received for Laboratory by Date/Trme <br /> Method of Shipment Laboratory Name r <br /> 1`1,C a 10bitI <br /> Special ln8tFy9tions 1 hereby authorize the perlormance of the above indicated work <br /> I <br /> 1 <br /> 1 <br />