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A dvanc <br /> GeoEnvironmental, Inc. CHAIN OF CUSTODY RECORI <br /> ate <br /> Pae <br /> of-- <br /> 837 Shaw Road Stockton, California- 99215- (209) 467,11006 Fax (209) 467-1118 <br /> RUS#f <br /> Client Pr9ollecoat <br /> ana 9, <br /> J Tests Required <br /> Phone Number <br /> 0 <br /> Sam lell (Signai r <br /> Project Name <br /> invoice: <br /> SampleAGE <br /> Number Location Sample Type ve Client <br /> Description Date Time -,—Wat <br /> —er Solid No. of "` <br /> 00rnP- Grab. Notes <br /> 1 (yet <br /> z <br /> '17 <br /> -T78 in u riatur <br /> ace ve y: Igna ure <br /> Reli Uis ed b (Sionatufs) DateMme <br /> 1�;d A) <br /> 1;-c""d by Mobile Laboratory for 1-1 field analysis: (Signature) <br /> Dispatched by: (Signature) Date/ 1-6 <br /> Method of Shipment: JiVe'c*,vad 6T,La oratory by: <br /> Dale/ ime <br /> Laboratory to <br /> I herebyAA <br /> authorize the Performance of.. <br /> above indicated *oik <br /> ------------ <br />