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Advanced ... .CHAIN OF CUSTODY RECORD:,:'.. <br /> GeoEnvir��onmental, Inc. [late Page;�of <br /> -�����,,. rf �l[ 1 !�O IYI+• ;��+Yx `1,��'� 1 I1� F <br /> 1West March Lane,Suite A-Stockton,California-95207-(209)9 Fax(2(9).95f3p7f�_ q� a"XA�T a2 <br /> Client - ti Project Managw-Y <br /> Ek) APC <br /> Tests required <br /> (0 � PhoPe NNflber <br /> k. <br /> c L Sarpplers;.(S�gnatlare) _InYa�ce, . <br /> Project Name [�AIGnP.,� <br /> rwrV <br /> Sample Location SampleType No of ! <br /> NDate Tirpe 'Water"'� Solid <br /> u bef Description <br /> . <br /> Comp. Grafi: Alt CO(1tS <br /> T~r <br /> � � r <br /> VnAq <br /> 1119A 21 OUR <br /> E <br /> S1 RVAN:UM COND TION 1%i <br /> - <br /> 116 C SPACE <br /> 'SEN NT iNER <br /> e 4 uts y: ignature ecerve y: (Signature) <br /> alef ime <br /> r CA OVeR 1t6HT ri.°D <br /> Bali nqurshe by (Signature) Received by: Signalute) 1� + Date/Time : <br /> CA OVERNI N[f} AL <br /> Relinquished by: (Signature) Rec i ed by Mobile Laboratory for field analysis:(Signature) :''` aigITime , <br /> Dispatched by: (Signature) Dale/Time Received for Laboratory by: Date(Time <br /> Method of Shipment: uzoux xe&dt Laboratory Name' <br /> 30 1 a <br /> Special Instructions; J U U I hereby authori?e the per rmance of the above indicated work. <br /> t . <br />