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� 1• � � r � � � t• t• t• l• 1, t• � _ ©� <br /> � Advanced <br /> CHAIN OF CUSTODRECORD <br /> GeoEnvironmental, Inc. Date IZ/9/03 Page of 2- <br /> 837 Shaw Road- Stockton, California- 95215-(209)467-1006 Fax (209) 467-1118 <br /> Client Project Manager <br /> �,4UL �C)T-5o,V Tests Required <br /> Phone Number <br /> k' 00�6 <br /> Samplers (Signature) C�1 Invoice <br /> Project Namer O�•ti AGE ,-�J, <br /> ? <br /> LA- (� Client p <br /> Sample Location Sample Type Solid Notes <br /> No of ,L� <br /> Number Description Date Time Water Air Conts <br /> Comp (arab <br /> izvvi <br /> e inquis a ignature) eceive y ignature Da,eqim <br /> vo <br /> ehngwshed by (Signature) Received by (Signature) Date ime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> I <br /> Dispatched by (Signature) Date/Time Received for laboratory by Date/Time <br /> Method of Shipment Laboratory Name <br /> C� U ovPx�� �t T6-00 <br /> 5peciai Instructions i 70rize the performance of the above irrdreated work <br /> i �� <br />