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Advanced CHAIN F USTODY R CO <br /> GeoEnvironmenta.t, Inc. ` � � Page <br /> ;;:✓ 637 Shaw mead-StocRton, California-96215-(209)467-1006-Fax(209)467-1118 <br /> Client ,4Pro'1.311Manager Tests Required <br /> PVneNT <br /> t�er <br /> 1&7 <br /> Sa s: { ' nature) Invoice: <br /> Project Name k � � AGE <br /> Cflerrt� <br /> Sample Type Y <br /> Sample Location No . et / <br /> Number Descri tion bate Time Water Solid Notes <br /> P Comp, drab. ,t1ir Ct3ntS, <br /> elsnUr a y: n re A"eivad by: synature D (rime 1 ' <br /> Relinquished b :(Signature Received by: (Signature) Date(fime \ <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field anatysis:(Signature) Datemme <br /> Dispatched by:(Signature) DatefTime Received r r logy by: s atefTima <br /> Method at$hipmenL Lab roto a <br /> Special Instructioris: I hereby authorize the parlor ae of t above I icaled work. <br />