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`-" Advanced CHAIN OF CUSTODY RECORD <br /> _ _= GeoEnvironmental, Inc, Date Page Of <br /> — <br /> 837 Shaw Road - Stockton, California- 95215- (209) 467-1006- Fax (209) 467-1118 <br /> Client Project Manager <br /> On �� �{ Tests Required <br /> 111 f r "cAt M, � M cind <br /> Phone Number <br /> Samplers:ISignature) Invoice: <br /> !! <br /> Project Name [- .� - �� AGE ;ZJ c r Client <br /> Sample 0cation Date Time <br /> Sa ype w <br /> Number. Description Wate ��ir Solid Contsf Notes <br /> ra <br /> Comp. Gb, <br /> bW/Q SUS DW -Sly 7 4010 <br /> IL02. o <br /> �w Li�r�2 .saz 111 <br /> lynwil. 0Igo L kZ17 �. <br /> e inquis d by: {signature) Received by: (signature) DatelTime <br /> uished by: {Signature) Received by: (Signature) DatelTime <br /> v0 0&G I <br /> METAL4 a11[t <br /> Relinq htiiir nature) om <br /> ry for field analysis: (Signature) Date/Time <br /> GOOD CONDITION ' APPROFRIATE <br /> HEM SPACE ASSENT CONTABEIM <br /> Di.patddEO>WJ&WMAN]LAB-PRMRV8L IN LAD Date/Time Received tot Laboratory by: Da Mme <br /> IlaI <br /> Method of Shipment: aboratory Name <br /> Cover J,�t ����� <br /> Special instructions. I hereby authorize the perfo mance of the above indicated work. <br />