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7. <br /> ;:�:•: ;qty <br /> -�`�Advanced CHAIN OF CUSTODY RECORD <br /> GeoEnvironmental Inc. Date cl—` --q Pae r L <br /> of Nonhenr CaliforWia <br /> 1803 West March Lane,Suite A-Stockton, California•95207-(2D9)956-0264-Fax(209)956-0700 <br /> A6 tg� <br /> Client Project Manager <br /> Tests Required <br /> Phone Number <br /> Samplers: (Signature) Invoice: <br /> Project Name AGE ❑ <br /> Client <br /> Sample Type <br /> Sample Location No. of <br /> Number Description Date Time Water Air Solid Coats. Notes <br /> r <br /> Comp. Grab. t t <br /> Jr� _ 9` _q� _rc �y lz 56473 <br /> 56474 <br /> 5647-5 <br /> A X 564.76 <br /> I <br /> z'.L6 6- 3• Y. kc 56477 <br /> ' <br /> Zz 3 5647$ <br /> T� <br /> e mquis a y: (Signature) ecely y: ( ignat e Date/Time <br /> Relinquished by: (Signature) R15elved by: (Signalure) Date/Time <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) Date/Time <br /> Dispatched by: (Signature) Date/Time Received For Laboratory by: Dale/Time <br /> Method of Shipment: Laboratory Name <br /> ,g-'J <br /> Special Instructions: I hereby author ze the performance of the above Indicated work. <br />