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CHAIN OF CUSTODY RECORD <br /> Advanced <br /> Date Page _�. of-.� <br /> --- GeoEnvironmental, Inc. <br /> 4005 North Wilson Way-Stockton,California-95205-(209)467 1006-Fax(209)467-1118 <br /> Client Project Manager Ae �r Tests Required <br /> Phone N mber <br /> Samplers (Signature) Invoice <br /> AGES <br /> Project Name � `��- � Client ❑ <br /> Sample Type No of <br /> Sample Location Date Time Water Solid Notes <br /> Number Description Comp Grab Air Conts <br /> J <br /> k <br /> x cr ' 44948 <br /> D telTime <br /> a .9.118 e y gnat,,. eceive y kgnature <br /> Jy D'Q 5':DU r✓f <br /> ate(rime <br /> Rel (Sign tura) Received by (Signature) <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Date/Time Recely d for Laboratory by Date/Time <br /> Dispatched by (Signature) VZ 0 A �1 vG (o r <br /> U�� G I��ALS bT�E� I-a�bforatory Name <br /> Y <br /> Method of Shipment <br /> CA L—6 U-e�c � n ' <br /> Spectral instructions �+Rn �+ Z ab����nII{'C C�i,,,r ���itt� i her Y auth ze h perfor ance of the above Indicated work <br /> GOOD CONDITIO I rl L tkJ <br />