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rr �r-� r r rr r� rr rr rr rr �r r� rr �r rr �■r r� r <br /> ('" �• Advanced <br /> ,�1CHAIN OF CUSTODY RECORD <br /> GeoE n�iironmental, Inc. <br /> \ / C <br /> �✓ `�'-•• 837 Shaw Rodd • Stockton, California - 96215 - (209)467-10013 - Fax (20 ate Page <br /> ill <br /> RUS � <br /> Client <br /> �f <br /> Ff <br /> Pro ect Mana er <br /> i L , c.'>n/ Tests Required <br /> Phone Number <br /> c_ SO✓tom o� i <br /> Sam lars: (Signatur / <br /> TVProject Name 1. -1 //� / / Ince: <br /> AG E <br /> Sample �• � / <br /> Location Sample-Ty pe 1C � Client <br /> JXt- <br /> Number Description Date Time Water — No, of l 4 <br /> Ar I Solid <br /> Com Conts./ / / <br /> � ,/ P• Orah. / % / Notes <br /> Q �v02 (z S't <br /> LD13:32- Nn LD <br /> 13. '17 <br /> - -- <br /> 3:s r _ <br /> -Rolinqu b i natur <br /> ace ve Y� ynalure <br /> Re Inquia d b Ignawre) Date <br /> ReceiwQ by; (Slgnalure) �l ��� "` .� _ <br /> elingwehad by: (Signature) Oue/Ti <br /> Received by Mobile Laboratory for field analysia:(910nature) <br /> l]Ispetchod by: (Signetura) Date/Time <br /> Dete/Trme eca ved for Laborato <br /> rY Y: ^� <br /> Method of shipment / _ Dale ime— <br /> V ---- <br /> fes---- m _ <br /> special InalrucdM � la oratoryo <br /> : __ L <br /> I hereby authorise the perloan <br /> l uuca a above indicated <br /> '"— work. <br />