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� Advanced <br /> CHAIN OF CUSTODRECORD <br /> - GeoEnvironmentai, Inc. qa p l(�3 Date °' Page e�L a� <br /> 837 Shag Road-Stockton, California- 95215 - (209)467-1006 Fax (209)467-1118 <br /> Client L e, Project Manager <br /> n L Tests Required <br /> Phone Number <br /> Samplers (Signature) Irnoice <br /> Pra ect Name AGE <br /> Client <br />� <br /> Sample Location Date Time Sample Type Solid Na of 4 <br /> Number Description comWateirrab Air Cants ` �7 Notes <br /> GOOD <br /> CC RDITION— ROM TB <br /> HEAD SPACE A13SENT ONTAINE S <br /> WAS 0�Q M6f THER <br /> PRF-SER AnO''K <br /> e inIt d by ISi�nat RocaFvadly ipnatura <br /> Uate/Time <br /> Relinquished by (Signature) Received by (Signature) J" Date/Time <br /> Relinqu s ed by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) DatetTime Rec Laboratory by,,,--/ <br /> ata/Time <br /> Method of Shipment Lsborataq Name <br /> IV <br /> BELT SEAI ED X INTACT VIA <br /> $pedal Instructions s 0 !_ 1 hereby authorise tha performance of the above Indicated work <br /> F <br />