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CHAIN OF CUSTODY RECORD <br /> a � <br /> Geological Audit Services , Inc . Date-L& Page i of <br /> ___.. Fnwfonn7enta/ProAessio�a/s <br /> v 1800 West March Lane, Suite A- Stockton, Calilornia-95207-(209) 956.0264 <br /> NOW, <br /> t�oject Mana e Tests Required <br /> Client /`.1 � �' LS ���� <br /> Phone Number a <br /> Samplers: (Signature) ,f\Q� Invoice: <br /> /eoAudit R <br /> Project Name j'rrC'L ��' �-� Client � <br /> Sample Type -�-� <br /> am Ie Location Solid No. of �((/ ` /. Notes <br /> S P Date Time Water I Air Conts. � <br /> Number Description comp. crab. I i <br /> X <br /> NJ <br /> 3 <br /> /s•' I I I x I <br /> V 1--, 0-. tx/ <br /> � I <br /> Date/Time <br /> ! quts ed by: ( rgna u ved by: ( r Cj„ _p _ �,r -/�T '� 9 <br /> �Yit.✓1(�(j-lJ Cil s—� 9 <br /> teTi e <br /> VA wished ure) Received by: (Si azure) . 1042te'�ime <br /> Received b Mobile Laboratory for field analysis: (Signature) <br /> elinquishea by: (Signature) Y <br /> Date(Time Received for Laboratory by: Date/Time <br /> Dispatched by: (Signature) <br /> Laboratory Name <br /> Method of Shipmen , <br /> I hereby #utrizo the performance of the above indicated work. <br /> Special Instructions: <br />