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0 i <br /> AdvancedCHAIN OF CUSTODY ECOR6 <br /> GeoEnvironmental Inc 0-7-7 Date 1Z- ' Page J— of-2, <br /> 837 Shaw Road - Stockton, California- 95215- (209)467-1006- Fax (209)467-1118 <br /> Project Manager Tests Required <br /> Client 13 o1�,�D� FAQ, 1. L � -T C �- <br /> Phone Number <br /> Samplers (Signature) h Invoice <br /> AG <br /> Project Name ��A CI ent p <br /> � \ " ��`` <br /> Sample Location Date Time Sample Type Water Solid No of �� 4- Q, Notes <br /> Number Description Comp Grab Air Conts h <br /> M 00)4or►n� wE I IV,-, <br /> Mwza —1 Sar) .5 f5 ft 85'G 0-3,3-09 ) 0131< 5)�Pv <br /> Mwi2o -2D + , /} j Zo f4 836. 1 P <br /> ren+\,z.e - Z 5 r ! A ►- xs + 181sr, ho . 3 <br /> A r SG l X <br /> li rr r. <br /> w zr� -35 'r /3SG 55 X <br /> MwZ0 - o 11 y Bsc Il'�5 7C <br /> Ir rr ri <br /> s 1 v X X <br /> elinquis e y (Signature) eceive y igna;l5ture Date[Time <br /> S-TA T /7// O+/ <br /> Relinquished by (Signature) Received by (Signature) DatelTime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) Date[Time Laboratory by Date(Ti <br /> Received for me <br /> Q- <br /> Method of Shipment LabVlory Name <br /> Special Instructions <br /> C I hereby authorize the performance of thef above indicated work <br />