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CHAIN OF CUSTODY RECORD <br /> Geological Audit Services Inc . <br /> -��'� EnYi�nmenta/Protessiona�Gs <br /> ' Date -`� � Page I of <br /> 180 'Nest March Lane, Suits A - Stockton, California-95207 -t209)956-0264 <br /> C'ient �� .�r-15^ cS I Project Manager <br /> JG, M Tests Required <br /> WCL Phone Number <br /> J , ^� �'� �•'� / '� <br /> Samplers: lSi nature) J <br /> Invoice: <br /> Project Nameob M <br /> 1 ar Ci <br /> /V . , GeoAudit <br /> .c )4_- 6_�Z •, ��\ u y o Client <br /> i <br /> Sample Sample Type <br /> P location P YP No. of <br /> Date <br /> Number Description Time <br /> Water Solid ,'� �� Notes <br /> Comp i b_ Air Conts. Ilk <br /> ���� �• <br /> <" )ooJ: ds Vic , �_� N ��' 7141V. <br /> 1 x <br /> i <br /> 5 i� - <br /> vtrV a rr <br /> CJ 5o, S I 1 X <br /> 9113 Y, <br /> - LV Y, " l,t/ ehrl <br /> � C <br /> s ''1 C � <br /> Relinquished by: ignature ece! y lgnature <br /> j ) T (j Oats/Time <br /> c.��(,v't.-Vii,... ,' <1 7 <br /> Relinquished by: (Signature) Received by: (Signature) t� Z <br /> F 19 r-v :51 1 1 5rj tW Date/Time <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis (Signature) <br /> Oate/Tims <br /> Dispatched by: (Signature) Date/Time Received for Laboratory by: <br /> Date/Time <br /> Method of Shipment: Laboratory Name <br /> Pei q <br /> Special Instructions: <br /> -fasC t��- c 1 hereby authorize the performance of the above indicated cork. <br /> Pl � � �, � 1� a � / f� <br />