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r• »>� iim arm <br /> TV <br /> . CHAIN OF CUSTODY RECORD <br /> =-�- - Geological Audit Services , Inc . Date # 1-27-95' page <br /> I of <br /> Environmenta Prnlessiona/s <br /> 1411-�•� <br /> low <br /> 1807 bleat March Lane Sude A Stockton Gnlrtomia 95207 (209)950 U?W <br /> 3s�rg' (MS 0 <br /> Client C6U U11J P Project Manager Tests Required <br /> •.�icJ/y NJo-t.tc-c.r <br /> Phone Number <br /> lZpq) C66 02b4- <br /> Samplers (Signature) Invoice <br /> ] GeoAudlt 0 <br /> Project Name W Client ❑ <br /> Sample Location Sample Type No of <br /> Number Description bale Time Water — Atr Solid Contshq A Notes <br /> comp Grnh <br /> t <br /> 1 43962 <br /> M�z ; <br /> MW2- xs tyt'n)lo�nlro�All — 1S 1/47145 8. 45 X I x X � <br /> 1 <br /> � �! Cl <br /> �s -- -- - - - -- - x--- ---I � �- - - --� 43963 ; <br /> t , <br /> --- - ------ --_ w-- - - - - -, � <br /> Hw 3-IS ,�yp�;{ynrn� L&A 3 - 151 43965— - - 12 rb _ - ----- - — - ---x <br /> mws-0 Z 3` 1 X �( ► 43965 <br /> 1 1 r <br /> Rel/nu is e y +gnature icowo�r dry (Signaluro) DetelSime <br /> Relinquished by (Srgnaluie) ocoi by (Signnh re "Zed Q- DatelTrme <br /> X it V't'f q r 1-31-yei �+•- <br /> Relinquished by (Srgnalure) oce+ved by Mob+lc nbornlory for held annlys+s (S+gnniure) Date/Time <br /> I <br /> i <br /> Dispatched by (Signature) i)alulTune Received for Laboralory by Dnlel7+me <br /> Method of Shipment 1 nbnr (pr fdamo <br /> _ C <br /> Mn <br /> Special Instructions <br /> } it I�' r 1 here -buthnr+t the parlor m nca of the above indicated work <br /> iC p�ESQIA _J <br /> coon coNoXE <br /> �-' <br /> T DACE ABW <br />