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Q 10-7 — I !�- <br /> ( Advanced CHAIN QF CUSTODY RECORD <br /> GeoEnvironmental, Inc. Date a age ---L Of <br /> 637 Shaw Road-Stockton,California-95215- (209)467-1006 - Fax (209) 467-111 a <br /> Client Protect Managgir Tests Required <br /> Ut <br />� L'— <br /> one"7, <br /> l.-o( <br /> Sample (Sig ture) Invoice, <br /> Project Name ' AGE <br /> 7at <br /> Client <br /> Sample Location Sample TypeTime Na of <br /> Number Description Water Air Solid Conts Notes <br /> Comp (arab <br /> 1120 3OLLq-m::�L <br /> KXA I I <br /> e inqui Receive y ignature Date rime <br /> -' `� �'� � S0 GSC' <br /> Relinquished by {signature) Rec ved y g fillarrer <br /> D te/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Dale(T1me <br /> Dispatched by (Signature) DatelTime Received for Laboratory by DaleMme <br /> Method of Shipment � � / Laborato Name �-- <br /> W <br /> Special ts►stsuctfons �(,�J I hereby authorize th erfor nce of tha above indicated work <br />