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Advanced CHAIN F CUSTODY RECORD <br /> GeoEnvironmental, Inc. aA�-7 S-7 Date Pageof <br /> 4005'North Wilson Way-Stockton,California-95205-(209)487-1006-Fax 09)467-1118 <br /> Client Project Manager <br /> Tests Required <br /> P one Number <br /> . , <br /> Sam rs: (Signature) Invoice: <br /> Project Name f AGE <br /> loug �' �r Client ❑ <br /> Sample Location Sample Type No. of <br /> Date Time Water Solid <br /> Number Description comp. Grab, Air Conts. -46435 <br /> /Otv 'g-An4o-LAI K <br /> 46436 <br /> l/ S 46437 <br /> L-dV ' <br /> 4643 -8 <br /> j I <br /> �r 046439 <br /> .. 4.6440 . <br /> 119 10 <br /> I <br /> 46449 <br /> -4 <br /> e Inq Hs a : ( ig lure) p lye <br /> VOAS G I� TABS OTHER Date/Time <br /> Relinq ished by: ignatur R bT y: ignature) L , OatelTime , <br /> GOOD ONDITION IPPROPRIATE <br /> Relinquished by: (Signature) R�gaf+nr� �ARob{)Urt 4J!! oTff0diGY9�isnature) D&WFJme <br /> Dispatched by; (Signature) Date/Time 1�lf�VR�feic['eViCvfleJd for Laboratory Y. Y <br /> 8 Date/Time <br /> Method of Shipment: Labpfato Na <br /> Special Instructions: I here au lorize a perfor nce of the above indicated work. <br /> IUV <br />