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i Advanced <br /> CHAIN OF CUSTODOECORD <br /> GeoEnVironnlental, Inc. Date Page of f <br /> of Northern Calrfonua <br /> 1803 West March Lane,Suite A-Stockton, California-95207-(209)956-0264-Fax(209)9560700 <br /> Project Managgr Tests Required <br /> Client 1:AA?b <br /> Phones Number <br /> Samplers (Signature) Invoice <br /> W EXX r - AGR ElProtect Name h t Client [v� <br /> Sample Type No of Sample Location Date Time Water Solid Notes <br /> Number Description Comp crab Air Conts <br /> i\4w.6-- <br /> VMS IVUV 111LIML UN161 <br /> �flN ITI P Ap�OPRAT <br /> `' S <br /> Dat�rme <br /> e rtes e iy Signature B0 ' e y W'gn fe (/ <br /> 1 <br /> DatelTime <br /> Relinquished by (Signature) awed by {sig lure) i <br /> DatelTime <br /> Relinquished by (Signature) Received by Mobile Laboratory for held analysis i (Signature) <br /> Dispatched by (Signature) <br /> DalalTime Received{or Laboratory by DaterTime <br /> I-Aboratory Name <br /> Method of Shipment � � � � YAG �f( <br /> e• I hereby authorize he performance of the above indicated work <br /> I <br /> Special Instructions - <br /> �� <br />