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Advanced CHAIN OF CUSTODY RECORD <br /> GeoEnvironmental, Inc. � �`� �� Date Page --L Of� <br /> 837 Shaw Road Stockton, California- 95215- (209)467-1006 Fax(209) 467-1118 <br /> Client Pro eat Manager <br /> Tests Required <br /> Ph e u ber <br /> G <br /> Sa pl s. (Signature) Invoice <br /> Project Name ( �rl��- 4IL�f n� A AGE <br /> �l Client p <br /> Sample Location Sample Type t <br /> Number Description Date Time Water Solid No of 7 3 2 8 4. <br /> Comp arab Air Conts 1 <br /> X x 73285 <br /> a �, X X X )(1 . 73266 ; <br /> X X X Y 73287 <br /> xx x I } <br /> t 73288 <br /> �► 5 ra,, P i?� N� ' � � _ y <br /> TgcK c gyp , Zi 73289 <br /> P clOts-f , - I <br /> s i GMK P4'L N t1 �- 73290 <br /> Rai in is y lip at reece ve y mature ; <br /> r Oate/ l <br /> r rTm <br /> Relinqulshed by (Signature) Received by (Signature) DaterTim <br /> e <br /> Relinquished by (Signature) y)�ai�a{d/�y(]�iiA t��tittl3'ia re) Date(rime <br /> !,-- <br /> Dispatched by (Signature) "—' .� 0 --- Received or a oratory b <br /> .7 Oaiernme <br /> Method of Shipment � � La orat r Y e 16�' <br /> ►'.� ' <br /> Special instructions l hereby authorize the performance of the above indicated work <br />