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:� � �■■� � 111111111 � i_ I� � � � l� � � � <br /> Advanced =�G7<� j CHAIN O CUSTODY RECORD <br /> --- GeoEnvi ronmental, Inc. Date �- Page �� <br /> 837 Shaw Road-Stockton, California- 95215 -(209)467-1006 - Fax (209)467-1118 <br /> Client ver Pro Manager Tests Required <br /> LCA. ! <br /> i <br /> PPwieNumber <br /> lJ0 <br /> ers: (Signature) < invoice: <br /> Project Name AGE,& <br /> Client ❑ <br /> Sample location Sample Type <br /> Number Description Date Time Water Air Solid Con$f �, ...,,.. <br /> Comp. Grab. <br /> a �� � •� 47/Z <br /> � <br /> 88232 x <br /> �l -V4 <br /> 88233 x <br /> FT <br /> in isy: Signa a Received by: ignatu ate(Time <br /> Vito V/ I 111410 2 &Y-) <br /> Reli quiche by: (Signature}CITtil eceive r{�ip }ture Date(Time <br /> Ut Uiv {'��HIC <br /> Relinquished by: (Signature} ABSEN <br /> ory for field analysis.(Signature) Dale(Time <br /> Dispatched by: (Signature) Date/Time ec wed� -forr Laboratory by: Date ime <br /> VdL , � HAAT 0�1k 1041. 1 <br /> Method of Shipment: Laboratory ame <br /> t <br /> {�peciai Instructions: g I he authorize 14a performance of the above Indicalel work. <br />