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r r r r r r r r r r r r r r r r r r r <br /> Advanced CHAIN Or CUSTODY RECORD <br /> GeoEnvironmental, Inc. Date y_ I I o I Page of <br /> 837 Shaw Road- Stockton, California- 95215- (209)467-1006-Fax(209)467-1116 <br /> Client M Project Manager Tests Reeqquired <br /> � . <br /> Phone Number ft, <br /> Samplers: (Signature) x ay ��' Invoice: <br /> Project Name u AGE <br /> - � Client <br /> Sample Location Sample Type tr <br /> Number Description Date Time Water Solid No. of V o rrF Notes <br /> p Comp. Grab. Alr t'.OfltS. <br /> I <br /> I <br /> J <br /> _ y v0 > X <br /> X X '� <br /> } <br /> ll %O1 y �� I x x ?c _ 65334 " <br /> 65335 "' <br /> e mgme ed y: ature ecewe y: gna urs �e,or a <br /> 51D S-4cr T-AT <br /> Re inquished by: (Signature) Received by: (Signature) Datefrime <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) Date/Time <br /> Dispatched by: (Signature) DatefTime Received for Laborato 7f�/ -to/Time <br /> � C./ l/ OOc� <br /> Method of Shipment: L orator Name <br /> tx` t,ern i C&c' <br /> Special Instructions: 00 PRESERVATIoN 1 herebyauthorize the performance of the above Indicated work. <br /> p VOAS 0&G METALS OTHER <br /> WOUCUICE/+•_ <br /> NDITION W APPROPRIATE <br /> HEW •r nnQ i �(,'L <br />