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r r r r r r r r r r r r r r r r r r r <br /> Advanced CHAIN OF CUSTODY RECORD <br /> - =- GeoEnvironmental, Inc. ' tI e,i Date Page l to / <br /> 637 Shaw Road - Stockton, California- 95215- (209) 467-1006 - Fax (209) 467-1118 <br /> ClientProject Manager, <br /> Tests Required <br /> Phone Number <br /> Samplers: (Signature) Invoice: <br /> Project Name ,� � G'� <br /> AG E C]64 -r+,al-' .S'�� A G 'Gf. client Fey <br /> Sample Location f <br /> No. o <br /> Nufiber Description Water / <br /> Date Time Sample Type WSolid N <br /> Comp. Grab. Alr Conts. <br /> 4 <br /> 81657 �hl <br /> 81658 <br /> if <br /> ECFJR <br /> EADS-PACEtBUINIT <br /> .-_e inqui a y: ignat re) y: ignaturs D e[Time <br /> .� 2 <br /> elinquished by: (Signa ure) Received by: (Signature) ' ate/Time <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis. (Signature) Date(Time <br /> Dispatched by: (Signature) Data Tims c ed for Laboratory bye Dile/Time <br /> Method of Shipment: — Laboratory Name <br /> am lI <br /> Special Instructions: I hereby authorize the p rformance of the abort indicated work. <br /> L <br />