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Advanced CHAIN OF CUSTOD ECORD <br /> __- GeoEnvironmental, Inc. Date 61-Z4,Ptl age —Z—of <br /> 837 Shaw Road-Stockton, California-95215-(208)467-1006- Fax(209)467-1118 <br /> Client t Project Manapi �/ Tis Required <br /> Ph ne Number <br /> 14 <br /> 1664 <br /> Samplers (Signature) Invoice <br /> � SCJ AGE Protect Name Fcc ?rlj,_ ` �f �`� Client D <br /> Sample Location Sae Type No of <br /> Number Description Date Time Water Air Solid Conts 3� o�'V Notes <br /> Camp drab <br /> P'AJ z of 2'z`l %'J Z c I 'lu) 1,15Y l f l -'9 LL) <br /> LO <br /> I <br /> e i uis aSignature) Received By (Signature) atelTe ie <br /> ZE vq 636 <br /> relinquished by (Signature) Received by (Signature) Date[Time <br /> I <br /> j Relinquished by (Signature) Received by Mobile Laboratory for field analyses (Signature) DatalTeme <br /> Despatched by (Signature) Date/Time Reev for r ornr b ate/Timer' <br /> Method of Shipment Lab tory. N <br /> me <br /> Spacial Instructions � , �� I hereby authorize the peroftmance of the above Indicated work <br />