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4#dvanced CHAT OF CUSTODY *ORD <br /> l �- <br /> GeoEnviron mental, Inc ?� Z Ek L c`� , Date 9 Page _ of <br /> 4005 North Wilson Way-Stockton,California-95205 (209)467-1006- ax(209)467 1118 <br /> Client Pro ect Manager Tests Required <br /> Phone Number <br /> 201011, 4U'7 — %OOLD <br /> Samplers (Signature) Invoice <br /> AGE <br /> Project Name � sv1� Client"❑ <br /> Sample Location Sample Type No of <br /> Date Time Water Solid i Notes � <br /> Number Description comp crab Air Conts r <br /> 16336 ; <br /> mw-q p 3XX , <br /> 3 16337 <br />� _ 7- Z0� 3 16338 <br /> 16339 ; <br /> 81,LIs y na re ece,v y ,gnatu r _ a� -` --- lelrime <br /> CJ ale/Time •� <br /> ehriqu,shed by (Signature) Re ed by (Signal e) <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Datertime <br /> Dispatched by (Signature) Date/Time Received for Laboratory by Dale/Time <br /> Method hipmenl .� Laboratory N <br /> AL ki-A-11 <br /> Specfa! in !i s / �� O&6 METALS OTHER <br /> i her author a lh pe or artce o1 tha above Indicated work <br /> rtrfl rr i � <br /> v <br /> '.,1fAPPROPRIATE <br />