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jL Advanced CHAIN OF CUSTODY RECORD <br /> ' GeoEnvironmental, Inc. <br /> Date Ow 3/P4 Page Z ofd_ <br /> 837 Shaw Road-Stockton,California-95215- (209)467-1006-Fax(209)467-1118 <br /> Client 5M Lahk y m Project Manager Tests Required <br /> 9-C be;+ oaf <br /> Phone Number g <br /> (VO) L(L-7-tb% <br /> Samplers: (Signature) ��� Irrvoice: <br /> n yo h <br /> Project Name GAinui� f CcPtt, 3^ AGE <br /> CIieM ❑ . <br /> Sample Location Sample Type No.of " K <br /> Number Description Date Time Water Air S01id Corlts ,O y�r Notes <br /> Comp. crab. <br /> Q-Z-z-0 P-7- ZM A ��-�`i le�Ll X x. <br /> P- 3-ID <br /> P 3— IS 1, <br /> P-t-1-S 1?-LA r+i-A BtA A 12�L <br /> P- t-k-)b it l2iv <br /> e mgms a y: (Signature) acem y: gnatura Dale/Time <br /> Relinq hed by:(Signature) Received by: (Signature) Data ime <br /> Relinquishatl by: (Signature) Received by Mobilo Laboratory for field analysis:(Signature) DateRime <br /> Dispatched by: (Signature) Date/Time Received far Laboratory by: Date/Time <br /> -=t: 9.0 <br /> Method of Shipment: tfiborato Name <br /> C1t� t��Ic�=r C&` TecH <br /> Special In3tructloos: I hereby authorize the performance of the above indicated work. <br />