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Advanced CHAIN OF CUSTOD ECO ]RDS <br /> GeoEnvironmental, Inc. v c (� Date S 1`L Y 7Page of�L <br /> of Nonhent California <br /> 1803 West March Lane,Suite A-Stockton, California-95207-(2D9)956-0264-Fax(209)956-0704 <br /> r Q Project Manager <br /> Client <br /> G Tests Required <br /> Phone Number <br /> • {�`aY� 4 �3�� D1�6 �� <br /> i' S��aLmplePrs: (Signature) � Invoice; <br /> Project Name V/,e N-k f N ��� Client AGE p <br /> h� <br /> Sample Type 0. <br /> Sample Location Date Time Water No. of �ti <br /> Number Description Air Solid Conts. A, Notes <br /> tt Comp. Grab. <br /> i?1^c{yry '� 1*11-r alrUM �"r�'� ��34 � � Gaf>?t,d[Kffl� 7--` I for <br /> r�ox I �Ka� fi <br /> 60298 7. <br /> PEEfi RVATION <br /> OOQ WIN j <br /> COj� ri�E05 <br /> ate <br /> Relinquished y: ( ,gnature) ITIeceivedy: (Signature) DTime <br /> inq fished by: {_S•gn tura) Received by: (Signature) t91 7-q q 3 Date Ime <br /> .l•/y1v,C�C I[s �'�8'47�7=DCS <br /> Relinquished by: (Signature) Rec ved by M b le Laboratory for field analysis:(Signature) Date/Time <br /> Dispatched by: (Signature) Date/Time Received for Laboratory by: DatetTime <br /> orator Name <br /> Method of Shipment: CjQ� .�"L,QIG A.Q_Q._ y <br /> fl " 6044 P-fI i <br /> Special instructions: CJ I hereby authorize the performance of the above Indicated work. <br />