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Advanced CHAIN OF CUSTODOECORD <br /> � 2,GeoEnvironmental, Inc. Date O- Page —L— of <br /> 4005 North Wilson Way-Stockton,California-95205-(209)467-1006-Fax(209)467-1118 <br /> Client Q Projec �nager'2 G Tests Required <br /> Phone Number <br /> 7Qcl^V 0 7 -/,o <br /> Samplers: (Signature) Invoice: <br /> AGE <br /> Project Name �t �/ <br /> Client*11)1)� <br /> Sample Location Date Time <br /> Sample Type a X04 <br /> Solid No' of � � � Notes <br /> Water <br /> Number Description Comp. Grab. Air Conts. <br /> M on r rori.t5 U� t Nc., ) L�''�"`�� 5 IM <br /> Hui, ^1� _ <br /> t C <br /> Ulj � ^+� ,fir ,. r ),5 5r <br /> �t / <br /> r �t / r; <br /> 2 .0 <br /> w�5 ,f fr, `+ q r t5 <br /> r, <br /> 1, r� Lq It r <br /> Awl-35 tl Ir tr �l/ I <br /> ,► 1. -35 <br /> i"lonirbr;AQ) � j , 2 7 �.Z,r�j <br /> oate <br /> RSnquls a y: (Sig t e) Received by: 19 n a FU—feT rr'me <br /> —kmSTRn,D�R ^ / +��+ <br /> 1'---� 'V D 4 <br /> Relinquished by: (Signature) Received by: (Signature) Date/Time <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) Date/Time <br /> Dispatched by: (Signature) Date/Time r2edor Laboratory b ;4 DatelTime <br /> , -Z/ �7 �s <br /> Method of Shipment: Lab000ky <br /> CNa e <br /> OU� 4 I hereby au hove the performance of the above indicated work. <br /> Special Instructions: <br /> '� r 1 <br />