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Advanced.. RUSH CHAIN OF CUSTODY RECORD <br /> GeoEnvironinental, Inc. <br /> _C)S I L- Page <br /> _:Z_�(16, 1;Z4-4- Date <br /> 837 Shaw Road - Stockton, California 95216 - (209)4 67-1 a0fl - Fax (209)467-11118 <br /> Client P-J")ect Me <br /> Tests Required <br /> Phone Number, <br /> (Slk Invoice: <br /> Projecl Nj[jje <br /> AGE <br /> --- ❑ <br /> 9-a-nipleType / - . <br /> Client <br /> Sample Location <br /> Number Description Date Time Water Solid No. of / i / <br /> Air cont& Notes <br /> Grab, <br /> 0 <br /> callorl <br /> scrlption <br /> Date <br /> T <br /> ot- lb <br /> p <br /> D ti 0 <br /> 3 <br /> nature <br /> t 1 7- <br /> lw�eb4fved by:lgrg—natu-ral— <br /> Aecolved by; (Signature) <br /> Da <br /> Relinquishe'tFlij,.-191onfruviq X10.e <br /> flellnquithe d (Signature) —nee*!ved by Mobile Laboratory for field snaly*10:(Signature) Dalallims <br /> Dispatched by. (Signature) 1-f-M-6oratory <br /> Bats/Time <br /> Method of Shipment. ary N a 0C -Lz4Q a---- <br /> I L <br /> Special Insitucilonc —UTAA�LL <br /> i­f,—.r.-Iy authorize the Perlofniance of h 111110 1AX(ficaind work <br /> - ?—Ur-'Xi--�— Wh S IVW6-L <br /> -Tt L 5 F�� SysW 1)(-1-1 � <br /> -k-J 777t! - <br /> Q(L (2 <br />