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11111=111 0" 1�11 now <br /> 0000, '00e col ;i.;( <br /> ICUP NOON CHAIN OF CUSTODY WORD <br /> Advanced GOOD CONDITION--�_�-- *RORV�TIE <br /> HEADSPACE ABO� COf1TArv!ERSLd!!00' bate 2-1 Q'9 Page -j:2Z of-2— <br /> GeoEnvironmental, Inc. <br /> 4005 North Wilson Way-Stockton,California-95205-(209)467-1006-Fax(209)467-1118 Ck Ci. <br /> Client Project Manager 1J Tests Required <br /> Phone Number <br /> Samplers: (Signature) Invoice: <br /> AGE <br /> Project Name IV <br /> Client <br /> Pr LA", <br /> Sample Type <br /> Sarp'ple LocationDate Time water — Solid No. of Notes <br /> Nurfiti6c... Description Comp. Grab. Ai conts. <br /> 6-15 5011 15WIAt)IJU, 15 -SAIVVe- <br /> 6 -2() 2a RFJ 93c- <br /> ELz+ a 54 <br /> M <br /> 905 x <br /> IQ Elf.1, 135 li <br /> N ) <br /> zo <br /> a a me <br /> lnqu s ed by: (Signature) -ffe—ceived by:Z(Sign r e) Id, 7 <br /> S-Tfqrvp� AD -7D <br /> He I i nqulsht�by:rp nature) Received by'(signator o 1., 11 Dale/Timis <br /> Relinquished by: (Signature) Received by Mobile laboratory for field analysis:(Signature) Datefrime <br /> Dispatched by: (Signature) Date/Time Received for Laboratory by: DaterTime <br /> Method of p4ment: Laboratory Name <br /> —M 0 McNim P I 46aly-L ad <br /> Special Instructions: I hereby authorize the performance of the above Indicated work. <br /> 46 <br />