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Advanced CHA71NF CUSTODY RECORD <br /> GeoEnvironmental, Inc. IFS7, J-0 Date 7/0) Page —1— of <br /> 837 Shaw Road Stockton, California- 95215- (209)467.1005 - Fax (209)467-1118 <br /> Client Project Manager Tests squired <br /> A PonR Number <br /> L7- <br /> (8i nature) Invoice: <br /> ProjectNameAGE <br /> Client ❑ <br /> Sample Location Sample Type <br /> Number Description Date Time Water Solid Com . ofNotes <br /> comp. Grab. Air nts. <br /> '66517 <br /> 71el 1337 Y" k4T I I I <br /> 770 <br /> fi -0t3,qt) <br /> ftiJ 7-a 71 <br /> 66520 <br /> t-A14U'iit1.'V-ZZ-01 :3 �fd' :6652.1 <br /> a 04 LIZO 66522 <br /> Helinquished bl: (Signature) Recolvea by: (signature) 6523 <br /> L�z 471.e�-1 <br /> Relinquished by: (Signetturif) Received by: (Signature) fDaterTime 1400 <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: Daleffirne <br /> Dispatched by: (signature) Date/Time <br /> Receive for Laboratory <br /> QatefTime <br /> N\Ao <br /> Method of Shipment: VGr Uo'�IAETI ALSIOTHER I Labor I N <br /> Z PRES& <br /> Special Instructions: N <br /> GOODOiTDITION APPROPMATE <br /> I harob autho ize Who performance of the above Indicated work. <br /> HW SPAGi <br />