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Advanced CHAIN OF CUSTODYRECORD1 J <br /> _Z _7V Page of <br /> GeoEnvironmental, Inc. Date <br /> L <br /> 4005 North Wilson Way-Stockton,California-95205-(209)467-1006-Fax(209)467-1118 <br /> J66015* <br /> Client11 Project Manager <br /> Tests Required <br /> L L �LL <br /> Phone Number <br /> q67-(� U <br /> Samplers: (Signature) Invoice: <br /> AGE <br /> Project Name Client ❑ <br /> Sample Location Date Time Sample Type Solid No. of Notes <br /> Number Description Water <br /> Comp. Grab, Air Conts. <br /> 86339 <br /> r VkL-( 2-27W 0JC r <br /> c we slurs Date/Time <br /> �u <br /> Relinquished by: (Signature) UwWceived by: (Vignature) Date rime <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) DatetTime <br /> Dispatched by: (Signature) Date/Time Received for Laboratory by: Date/time <br /> T <br /> Method of Shipment: (/i ��� s Laboratory Name <br /> 6(1 <br /> Special Instructions: VOASI O&GI METALS1 OTHER I hereby authorize the performs ce of the above indicated work. <br /> I C U?. PRISERwohl—0 <br /> GOOD CON0ITI0N-_4VP I ------- <br /> A APPROPRIATE <br /> f vd)spAeE 7W CRUMB <br />