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------ <br /> s i <br /> L -- <br /> Advanced CHAIN OF CUSTOD)rRECORD <br /> GeoEnvironmental, Inc. �rZ �� <br /> Date Page of <br /> 4005 Norah Wilson Way-Stockton,California-95205-(209)467-1006-Fax{209}467-1118 1 Q 6Q-4- x Me 3q3 <br /> Client C I [ /' ` Project Manager IL <br /> L �� r1 � # Tests Required <br /> Phone Number <br /> 00 f _ <br /> Samplers. (Signature) Invoice: <br /> Project Name f 1� �,j �� �// � '� AGS <br /> h Client ❑ <br /> Sample Location Sample Type No. of <br /> Date Time Water Solid ' r <br /> Number Description Comp, Grab. Air Conts. 86.332 <br /> r ` <br /> I� <br /> MW- Z Y N7- 2'5 d X 3 86333 <br /> Z7 - <br /> 86334 <br /> MV J <br /> z7-t1 3: So 3 <br /> t _ . -._86335-.. . <br /> 86336 <br /> MV-5-1 <br /> 3,l S K 86337 4 <br /> 86338 <br /> ews a�tl re} ec a y: :gnat a �� C� pale(Time-' <br /> I /O <br /> Relinquished by: (Signature) ERSr.,elved by: (Signature) Date/Time <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Slgnalurej Date/Time <br /> Dispatched by: (Signature) Date/Time Received for Laboratory by: Date/Time <br /> Method of Shipment: / r J� C�j� �v Laboratory Name <br /> L fl rIJJ <br /> Ver . J C ed 1/� <br /> 6 <br /> Special Instructions: VAS 0&G ME ALS OTHER I hereby authorize the performance of the above Indicated work. <br /> GOOD CONDITION�� APPROPRIATE <br />