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• • 0 1� <br /> Advanced CHAIN OF CUSTODY RECORD <br /> GeoEnvironmental, hnc �� �'� <br /> � Date C � � Page of <br /> L.,.. 837 Shaw Road- Stockton California 95215 (209)467 1006 - Fax 209 467-11 <br /> -- �. { ) 18 <br /> Cltertt � r � <br /> - Project Manager <br /> v' Tests Required <br /> Phone umber <br /> Samplers ) <br /> �St ��/ <br /> . •8last �''� invoice <br /> proleName �� �, �" �""- / AGE <br /> ')Client <br /> n, Type <br /> ❑ <br /> Sample Location Sample� p <br /> Number Description Cate Time Water Air Solid No ot <br /> Conts � `" Notes <br /> t' comp Grab <br /> .k to'?) k"w to t�> <br /> Cc FC-) CF <br /> tioquts atu eceive y ignature ('rG01]CnNi}ITION APPROPft7AT3 De ITtm <br /> HEA LCACEABRINAT SENT� CONTAINERS If�� i }CJ : <br /> Reltnquishec by (Signature Received by (Signature) V4 �� PMLrAlSVEOIf3ERA$ I f a;a�rir a/r/ <br /> PRESEWATION �' <br /> Relinquishea by (Signature) Received by Mobil& Laboratory for field analysis (Signature) <br /> rr � - ` date/Ttm® <br /> Dispatched !,y {Signature) pate(rtme Received far Laboratory by } pata(Ttme <br /> method alshipment �� R 1Y� Laboratory Name <br /> Special Instiuc4ons Q _ W <br /> � ... I hereby authprt for of the above indicated work <br />