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C�Cap 5 <br /> �- 0 C1-10cT13 50 <br /> ( Advanced CHAIN OF CUSTODY RECORD <br /> ''- G1' w 1UL1 oto <br /> GeoEnvironmental, Inc Date Page <br /> 837 Shaw Road - Stockton California- <br /> 952i 5 (205)467 1006 Fax (209) 467-1118 <br /> Client . ill �� Project Manager <br /> 1 &Ii'�.-tr�ai�=� Tests Required <br /> Phone Number <br /> S Il;rs Sic rat s <br /> p ( .3 � Invoice <br /> Project Name �..J �' ,�• }'� AGE �[ <br /> l —� W �, Client ❑ <br /> Sample Location Sample Type <br /> Date TimeWater Snlid No of t� Nates <br /> Number Description co,„p �rui� Air Conts <br /> lw cw44 <br /> km Y- <br /> e in is e y (Signature a et r not a t7atelTtme <br /> Rehnqurs ed by (Sign IC8/t° Received by (Signature) DatatT me <br /> GOOD CONIIITIO <br /> Relinquished by (Signature) ? RVfiN dtll obrte�Laboratory for field analysis (Signature) DateRime <br /> DECHLORDWEDIN RESERVEIIINIgiI,, <br /> Dispatched by (Signature) RESERVATION1T me flacewed for Laboratory by Oale/7ima <br /> Method of Shipment Loboralory ttame <br /> Special Instructions ft L r hereby <br /> authorize the performs the above Indicated work 1 <br /> RECD SF-ALED&I rA I A C�16V(---V,P) (A, �� _ <br />