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Advanced CHAIN OF CUSTODY RECORD <br /> e6 <br /> GeoEnvironmental, Inc. R Li Dat �'6 Page of <br /> 4005 North Wilson Way-Stockton,California-95205-(209)467-1008-Fax(209)467-1118 <br /> AJ VID ang <br /> Client F-7 kl-y3t-n Prolo.GLM ager <br /> /-C' Tests Required <br /> Phope Number <br /> Samplers:7(Signature) Invoice: <br /> Project Name A AGE !0 <br /> Ll Client ❑ <br /> Sample Location Sample Type <br /> Date Time Water Solid No. of Notes <br /> Number Description I <br /> Comp. Grab, Air Conts. <br /> L 44667 <br /> .�00- cn5 h4ari In C� r 4r <br /> I> 44668 <br /> )< 44669 <br /> X <br /> x 44.670 <br /> Relinquished by: (8 gnature) ecerve y: (Signature) Date/Time <br /> RZTft?Wh1hn by: (Signature) Received by: (Signature) Datel-Firne <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) Data/Tlme <br /> 1 <br /> Dispatphed by: (Signature) Date/Time veq1pi Laboratory by. DateMme <br /> 173 <br /> 14ethdd of Shipment: La orato Name <br /> Special Instruction6: J I hereby author) <br /> mance of the above Indicated work, <br />