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CHAIN OF CUSTODY RECORD <br /> Advanced <br /> GeoEnvironmental, Inc, Date�l�-� Pass �- of-�-- <br /> 4005 North Wilson Way-Stockton,California-95205-(209)467-1006 Fax(209)467-1118 <br /> Client5 kAn Project nage � Tests Required <br /> Phone Number <br /> Sa rs (Siature) Invoice <br /> t AGE <br /> Project Name ��-�� G l Client ❑ <br /> Sample Location Sample Type No of <br /> p Date Time Water Solid Notes <br /> Number Description Comp Grab Air Corrts <br /> v ��c 40799 �A) <br /> J0'y � - � �l �� �-� � ',10 � � r 40800 C-�) <br /> s <br /> 11 , 'Mi , !a# t <br /> ;fuL fil zMMI <br /> s <br /> v <br /> e inqus y rgnal re Received y gnaturs DatelTime <br /> Relrnq fished by (Signature) Received by (Signature) Date/Time <br /> i <br /> Relinquished by (Signature) Recelved by Mobile Laboratory for field analysis (Signature) pp Date/Time <br /> ri <br /> Dispatched by (Signature) Date/Time R4�egiXed for <br /> Lab ratory DatetTime <br /> / <br /> Method of Shipment L boratory am <br /> Cpr <br /> Special Instructions I hereby authorize thil performance of the above Indicated work <br /> r ��j <br />