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0 0 <br /> Advanced CHAIN OF CUSTODY RECORD <br /> - �� � Page � of <br /> GeoEnvironmental, Inc Date <br /> 837 Shaw Road-Stockton,California 35215- (209)487-1008 -FaA(209)467-1118 <br /> Project Man? r Tests Required <br /> � <br /> Client I <br /> Z4 <br /> VuMber � <br /> (, ) �67 jok { <br /> ler s- (Si nature) n Invoice <br /> Vo- <br /> Project Name Client ❑ <br /> Sample Local n Sample Type c of <br /> Number Description Date Time Water Air Solid Cents Notes <br /> Comp drab <br /> 7 <br /> ll -1 <br /> —:LLEIL <br /> e inqu y ignatut ace ve y gnature Oat fFime <br /> 4: r 1730 <br /> W <br /> elin shed by (signature Received by (Signature) D terTime <br /> Re Inqulshe- by ( ignatura) Recelved by Mobile Laboratory for fiaid analysis (Signature) � Datetrime <br /> Dispatched by (Signature) Daleffime R Aboratoty by >Ja !Time <br /> 011 <br /> Method of Shipment Labo o�y a <br /> C, , 6J A <br /> lSpacial in'shuctsons I hereby aur ixa the arfor ance of the above indicated work <br />