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Advanced CHAIN OF CUSTODY RECORD <br /> �~ D�V �O Date zZ d page —� of� <br /> GeoEnvironmental, Inc. <br /> 837 Shaw Roars- Stockton, California- 95215- (209)467-1006 - Fax (209)467-1118 <br /> Client Project Manager <br /> 71-1 L Tests Required <br /> P one umber <br /> 0 � <br /> S ers (SI nature) Invoice <br /> Project Name AGE 0 <br /> 0 r(S �� Client ❑ <br />' Sample Location Sample Type <br /> pate Time Water °� Notes <br /> Number Description Water 'air Solid Cants <br /> Camp Grab <br /> f3 FJi t� <br /> 1H 0 T/ <br /> t ALB <br /> +�t7GbGC3 CT.'i"'Ll,x � CY1'RL . <br /> TMF.— <br /> OAUSEA <br /> 'f <br /> s IStls t o 1�r1Y a YY IV <br /> e inquis y i lure Receivedy (Signaturey— <br /> telTime <br /> Rellnqulshed by ( gnature Y (signature) DaReceived b Si a 7G=� <br /> telTime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Daleffime <br /> Dispatched by (Signature) Dale/Tlme Re v f Laboratory by alelTlme <br /> OP 04o� O� <br /> Method of Shipment Laboratory e <br /> Special i strucliins heists) autho a the per mance the above Indicated work <br /> oil��Y � 1- �e �� ct� <br />