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-------- -------- <br /> ILI. J <br /> Advanced CHAIN OF CUSTODY RECORD <br /> OfAlAg <br /> GeoEnvironmental, Inc. Datepage I <br /> 4005 North Wilson Way-Stockton, California-95205-(209)467-1006-Fax(209)467-1118 <br /> Client di Proj M ger <br /> Tests Required <br /> P llonelumlZ r <br /> 7-160 <br /> a rs: (S* natu Invoice: <br /> Project Name AGE Ej-- <br /> Client ❑ <br /> Type Typ <br /> Sample Location SampleNo. of <br /> Date Time Water Solid Notes <br /> Number Description Comp. Grab. Air Conts. <br /> RIA31,06 1055-- <br /> J '11 <br /> 31.64.3_ <br /> 31644.f <br /> 1< <br /> ... 3T 4.s <br /> tj JA JAJ <br /> . 31647 <br /> a i she Y7 1 atu Received by: (S gnature) Date/Time <br /> Relinquished by: (SigFiatu Received by: (Signature) DatefTime <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) Dateffime <br /> Dispatched by: (Signature) Date/Time Received for Laboratory by: <br /> Date[Time <br /> Method of Shipment: <br /> Special Instructions: J UOU RTAI hereb a a T[H� tho ize th erform ce of the above Indicated work. <br /> GO <br /> PRESSRVATION D MINDMow Z <br /> U <br /> ;Jr- "EABS' <br /> DSPAC ENT <br /> AL \J <br />