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Advanced CHAIN OF CUSTOD RECORD <br /> Of <br /> GeoEnvironmental, Inc ( rJ � Date Xl Pase <br /> 837 Shaw Road Stockton, California 95215 - (209) 467-1006 Fax (209) 467-1118 <br /> Client t <br /> Project Man Test&A aired <br /> P one Nu ber <br /> Sa r/d (signature) Invoice <br /> f � t AGE ❑ <br /> Project Name t ( ` Client <br /> Sample Type <br /> Sample LocationNo of / Notes <br /> Date Time Water Solid � <br /> Number Description comp J crab Air Conts <br /> loo <br /> + ' wog <br /> 4L-1� <br /> 4- e) _W <br /> Ir <br /> Metine y Srgnat ref E ecetve y ignature i D to rm <br /> Relinquished by (Signature) Received by (Signature) Dale rme <br /> Relinquished by (Signature) deceived by Mobile Laboratory for field analysis (Signature) DatefTime <br /> } <br /> Dispatched by (Signature) Datel7rme iia aboratofy by �taJTime _ <br /> -� r35 /5a <br /> let <br /> Method of Shipment Laborat fy Na ; <br /> h t � _ utif;� y) <br /> Special Instructions ITICLlt• �� I hereby autt6rj�s the erforma ce of the above indicated work <br /> 1 !f GOOD CONDITION �s—APPROPRTA M �' / r) <br /> flLAD SCEPAABS( / <br /> CHORIVOA3NATLD IN LAB PRESLRVCD IN <br /> o LAB <br /> 0&47 METALS OTHER <br /> r <br />