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CHAIN CUSTOD' CORD <br /> Advanced <br /> GeoEnvironmental; Inc. Date Page I of <br /> 4005 North Mson Way-Stockton,California-95205-(209)467-1006-Fax(209)467-1118 <br /> Client <br /> Project Manager <br /> Tests Required <br /> L <br /> t Phone Number <br /> Samplers: (Signature) Invoice: <br /> Project Name <br /> Client <br /> Sample Location Date Sample Type <br /> Time Water Air Solid N 0. of Notes <br /> Number Description I Conts. <br /> Comp. Grob. <br /> X" <br /> 1 )7-0r. <br /> J <br /> A <br /> -7' <br /> J I I I I <br /> RehnqLui01e,q by: (Signature) Re ed Y. (Sign &/Time <br /> 7� <br /> Relinquished by. (Signature) RE(reivAd by: (Signature) r DaterTime <br /> Relinquished by: (Signature) <br /> Received by Mobile Laboratory for field analysis: (Signature) DatefTirna <br /> Dispatched by: (Signature) Dale/Time Received for Laboratory by: Dateffirne <br /> Method of Shipment: <br /> Laboratory Name <br /> Special Instructions: <br /> I hereby authorize the performance of the above indicated work. <br /> C'7=po."' <br />