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Advanced CHAIN OF CUSTODY RECORD <br /> GeoEnvironmental, Inc Date to/xi Ic qPage <br /> 837 Shaw Road- Stockton, California-95215- (209)467-1006-Fax (M)467-iii a <br /> Client �— Prolect manager <br /> t V', Tests RequiredPhone Number <br /> Samplers (Signature) Invoice <br /> Project NamAGEe�1 <br /> Cheng <br /> Sample Location sample Type <br /> Number Description Date Time (Nater Alr Solid Contst <br /> Comp Grab / Notes <br /> I L(e �C <br /> vis t MjV <br /> �V(TeW�k� <br /> r e14 <br /> inqu s a ign e <br /> eoe ve y gnaiure <br /> ehnquish.d by (Signature) Received by (Signature) <br /> Data/.Me <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) <br /> Date(Time <br /> Dispatched by (Signature) DatelTrrne R Laboratory b <br /> ate�Time <br /> Method of Shipment L o tory Name <br /> 'I.L Cats <br /> fiQeciel Instructions I harepy uthorizeIha performance he above indicated work <br />