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7,- <br /> Advanced CHAIN OF CUSTODY RECORD <br /> GeoEnvironmental, Inc. <br /> Date Page 11, of 4- <br /> of Northern Califomra <br /> 1803 West March Lane, Suite A-Stockton, California-95207-(209)956-0264-Fax(209)95"700 <br /> Client fw_'H6g� CProject Mana <br /> Tests Required <br /> Phone Number <br /> ti <br /> Samplers: (Signature) Invoice: <br /> Project Name IL <br /> AGE <br /> Client <br /> Sample Location Sample Type <br /> NumberDescription Date Time W ter Solid No. of Notes <br /> Comp. Air Conts. <br /> 60831 <br /> wil, - 5 <br /> jAl _6 0 8.3 <br /> 60833 <br /> L <br /> 60834 <br /> e inquis y:: ignaluie) ecek a y; Pg lure <br /> Date/Time <br /> Relinquished, /-216-56 <br /> elved y: (Sign re) <br /> Dale/Time <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) DaterTlme <br /> Dispalched by: (Signature) a—le/I Ime Recelved for Laboratory'by: Dale/Time <br /> Method ment, <br /> C�z Laboratory Name <br /> Special Instructions: LJ k vi L d±1 hLER <br /> I");' .— A <br /> PRE-FERVATIVE t A I hereby authoriz/the performance of the above indicated work. <br /> G:,CD QQNDJTf PRIATE <br /> HEAD SPACE ABSENT- CONTAINERS� <br />