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j _ Advanced CHAIN OF CUSTODY RECORD <br /> GeoEnvironmental, Inc. Date l-Z�-�2 Page �,� 3 <br /> 837 Shaw Road-Stockton,California-95215-(209)467-1006- Fax(209)467-1116 <br /> ClientPro' Mana er <br /> AUL Tests Required <br /> Phow Numbe <br /> Samplers: (Signature) Invoice: <br /> Project Name MiD fL krK AGE. - . <br /> Client <br /> - u <br /> Sample Location Sample Type , <br /> Date Time. Water Solid No, of l� <br /> Number Description Air Conts. Notes <br /> l <br /> Comp. (arab. - <br /> I <br /> 4- <br /> T - <br /> e i e y:_ nalu ece va Y. gnature DatelLlme <br /> (". - <br /> Relin uished by: (Signature) Received by: (Signature) �— DatelFime <br /> L, A <br /> Relinquished by: (Slgnatura) Received by Mobile Laboratory for field analyals:(Signature) rlateJTime <br /> mipatched by: (Signature) DateMme Race ved for Laboralo4 by:e- <br /> . Dalel-Time _ <br /> ._ <br /> Method of Shl ant: ''II Labo ato y Name „ <br /> Special InatFUCtiOna: 'I hereby authorize the performance L'Ih'a ve indicated work. <br />