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Advanced CHAIN OF CUSTODY RECORD <br /> GeoEnvironmental, Inc. � 13i-g x Date �-3-5 Page of ----2,�- y <br /> 4005 North Wilson Way-Stockton,California-95205-(209)467-1006-Fax(209)467- 118 <br /> Client S Project Manager <br /> J Tests Required <br /> Phone Number <br /> rfs bue-� <br /> Samplers: (Signature) InvAGoice: <br /> E (: <br /> Project Name Client <br /> Sample Location Sample Type No. of <br /> Number Description Date Time Water Solid Notes <br /> p Comp. Grab. Alr CiOntS. r <br /> ' 40 900,0 <br /> . w <br /> 90060 <br /> SIS ,3� I 90065 <br /> 90062 <br /> 4� � Its ) 90063 <br /> / °' 4 v 9006 <br /> e uLgw a y: ( rg afore ecer y: rgnatur .—yy� u-ror nme <br /> "4- / <br /> Relinquished by: (Signature) eced by: (Sign tura) Date/time <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) Dale/Time <br /> Dispatched by: (Signature) Date/Time Received for Laboratory by: Date/time <br /> Method of Shipment: Labofapry N e <br /> Special Instructions: VDAS G METALS OTHE I hereby <br /> authorize he performance of the above Indicaled work. <br /> 1C PRESERVATION ' <br /> GOODUON011ION APPROPRIATE <br /> IaE�D�PA6EASEMT <br />