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CUSTODY RECORD <br /> CHAIN OFC , <br /> [ Advanced <br /> i Date 10-1I-ac,_ . Page t o#�— <br /> _---_ "- GeoEnvironmental, Inc. Lmvg <br /> 4005 North Wison Way-Stockton,California 95205-(209)467 1006 Fax(209)467-1118 <br /> Project Manager Tests Required <br /> Client ,L �< , L. A M e <br /> Phone Number <br /> 09 - HG 7- t oo(a <br /> Samplers (Signature) Invoice <br /> Project Name C q-} � � Client d� <br /> Samp a Type No. at <br /> Sample Location Date Time Water Solid Notes <br /> Number Description Com crab Air Conts ! <br /> P <br /> I ry t foa u W I <br /> X x x x - 498W <br /> a ! <br /> �C X <br /> X �( ' - ----A-986-1 `'� � <br /> MW4/ too ou wr-- <br /> �'IwS/ioo�16O w ►a �i-�a 14'k 3 <br /> ) vit,/ 106")ou Mw <br /> lit 7< .3 X x X 49854 <br /> 01W 7/06406 rAtw 7 <br /> e in is y ignat e <br /> ace ve y gnature) r <br /> tlatelTime <br /> Re nquished by (Signature) Received by (Signature) <br /> V l� t]atelTtme <br /> ReNnqulsfie y (Signature) r(C A4C 4tve y Mobile Laboratory for field:Iaknaflysissignature) [55 � TU�-n(�r-6 W�� <br /> Date/Time R e ved for Laboratory by ( 0ate(Tlme <br /> 14 [' t tpginatUre <br /> La oratory Name <br /> Method of Shipment ohA <br /> I hereby authorize the performance of the above Indicated worts <br /> Special Instruchons <br />