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CHAIN OF CUSTODY CORD <br /> _ Geological Audit Services , Inc . Date i , , r -q page _ af—� _ <br /> �'-" Ern�ironmenra/Professionals <br /> 1803 West March Lane Suite A-Stockton California 95207 (209)956 0264 <br /> Door <br /> ter <br /> -Client - - - - Project Manager <br /> -- -(� 0V'i-r_ _�ohr�� - Tests Required <br /> Urc Cl�lev'v-ev <br /> �- - -- - Phone Number <br /> - Samplers (Signature) j/ i Invoice <br /> /eoAudit/ <br /> _P�ojdctName � <br /> -Lora4X 5,rt�tc-q 5�47t`0 - _ �o. / <br /> - - Client <br /> - - _ Sam le TYpe <br /> Sample�-= Location _ Date Time Water Solid No of ���� / Dotes <br /> Number _ Description - - Comp Grab Air ContS <br /> I <br /> /it-1=13_ 2 = t �'3cb 3 k <br /> 17 <br /> Re inquis e y ignature) Heceived by (Signature) Date/Time <br /> i,(t,,,'y'',�� -- 5 v bawd T �T� 11-1-y3 /H De <br /> Relmqutshed by (Signature) Received by (Signature) Date[Tlme <br /> _Relinquished by (Signature) Received by Mobile Laboratory for held analysts (Signature) Datef ime <br /> Despatched by (Signature) - - Date/Time Ree a for Laboratory y Dafefreme <br /> Method-of Shipment a oratory Name <br /> Special Instructions — i hereby authorize the performance of the above indicated work <br />