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7: ----- -- ---- <br /> X ....1 <br /> Advanced <br /> CHAIN OF CUSTODV'� ECORD <br /> q <br /> — <br /> GeoEnvironmental, Inc. Dat Page of7A 89, L4 3E <br /> 4005 North Wilson Way-Stockton,California-95205-(209)467-1006-Fax(209)467-1118 <br /> ClientS <br /> Project Managpr <br /> t 01 Tests Required <br /> 1 4w, C14-Ma-) <br /> Phone-Number <br /> Samplers: (Signature) Invoice: <br /> Project Name AGF,-I!J' <br /> ClienIX, <br /> Sample Location Sample TypeDate Time Water I — Solid No. of Notes <br /> Number Description Comp, crab. I Air Conts. <br /> Ar-1 <br /> WASIOU <br /> tqpr <br /> t,lrz If 1!-il' ff; I'M <br /> PLOZan 1,17 <br /> JL Relin ad : (Si nature Received by, (Signature) <br /> ime <br /> Relinquished by: (Sig atTr'e)- Received by: (Signature) p/Time <br /> Relinquished by; (Signature) Received by Mobile Laboratory for lield analysis: (Signature) Daterrime <br /> Dispatched by: (Signature) Date rima oratory by: V <br /> calved for "-''�� /' 'I. " <br /> a� (A' DsI <br /> Method of Shipment: Laborat'ry &FT110 <br /> SpaRial Instructions: f I hereby autforize the performance of the above indicated work. <br />