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! ! <br /> Advanced s <br /> CHAIN OF CUSTODACOR© <br /> l & Of <br /> -- GeoEnvironmental, Inc. Date Page <br /> ,.-. <br /> 837 Shaw Road- Stockton, California-95215- (209) 467-1006 - Fax (209) 467-1118 <br /> Client .—r`; Protect Manager Tests Required <br /> Pone Number <br /> Za CT �) — 4 <br /> Samplers: (Signature) Invoice: <br /> AGE,,Er <br /> Project Name G-Letx�-�—„C' V Client ❑ <br /> Sample Type <br /> Sample Location Date Time Water Solid No. of /� Notes <br /> Number Description Air Conts. <br /> Comp. Grab. <br /> i <br /> �nquishedReceivedy: (Signature) Date[Time <br /> Relinquished by: (Signature) Received by: (Signature) Date/Time <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis:(Signature) -�5�A77— Date(Time <br /> Dispatched by: (Signature). DateJTime Received for Laboratory DatelTi �ej <br /> Method of Shipment: Lab to Name <br /> Special InSITU1:tlonfl: I hereby authorize the performance of the above indicated work. <br />