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Advanced CHAIN OF CUSTODY RECORD <br /> GeoEnvironmental, Inc. DateOL-242-- Page �_ Of <br /> 4005 North Wilson Way-Stockton, California-95205-(2oS)467-1006-Fax(209)467-1118 , <br /> Client I S F Project Manager <br /> 1 Tests Required <br /> Phone Number <br /> -7- <br /> Samplers: (Signature) � Invoice: <br /> Project Name M �j AGE <br /> S x''11 mu Client ❑ <br /> Sample Location Sample Type i <br /> Number Description Date Time Water Air Solid Co. of Notes <br /> Comp. Grab. <br /> 1 E � <br /> 41400 <br /> xl � 1 <br /> " s. <br /> a 6- kk ti 30 eK �' 414 0 f <br /> ?( X 41402 <br /> 1 41403 - <br /> E <br /> n is e <br /> Sig atureReceived y: ignature 7-11.,D <br /> hed : (Sig ature) Received by:.(Signature) Date me <br /> 'r J�� n4n i•�—'�1fir <br /> Relinquished b ature) r _ ,r , _ v d by obile boratory for field analysis. (Signature) Date/Time <br /> rr7h MIT`7i"N <br /> r ,., <br /> dA v <br /> Dispatched by: tS.i rr _:- ,; n rJ;;:,<<.1C Date rime f C'c ved for Laborator by: )n Daterrime <br /> P��,� i"i�vi7�r�,i.+r <br /> Method of Shipment: %K! ratory Name <br /> L N /A414 c <br /> Special nstructions: r l herebyauthorize the <br /> performance of the above indicated work. <br /> t).T\ <br />