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i i i � � � i i i � i � � i• � i i i � <br /> CHAINTF CUSTOD�ECORD <br /> ( Advanced -�C ( <br /> GeoEnvironmental, Inc. <br /> Date Page of <br /> 837 Shaw Road- Stockton, California - 95215-(209)467-1006- f=ax (209) 467-1118 <br /> Client Project anagen <br /> Tests Required <br /> POQne Number �h <br /> • (g77 C <br /> ccSampers: id <br /> ignature Invoice: <br /> Project Name Q AGE <br /> Client ❑ <br /> Type .{� <br /> Sample Location Sample Date TiNo. of <br /> Time Number Description Water Air Solid Cants. Notes <br /> Comp. Grab. <br /> Ltd © Z Cl /2 t /�•iS�J A- <br /> A <br /> mw 3 <br /> hfgqf A JX <br /> -M <br /> Rehnquist` <br /> rnqu y: nature ece a y: (Signature) <br /> � ! <br /> atelTim/e <br /> 7&b <br /> Relinquished by: (signature) Received by: (Signature) DetelTime <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis:(Signature) Date/Time <br /> Dispatched by:(Signature) Date/Time Received for Laboro by- J Date/Time <br /> �Q <br /> Method of Shipment: /j ora Na <br /> 4 ►�. ,e,t4 <br /> Special Instructions: I hereby au ixe thep rformance of the above Indicated work. <br />