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•Advanced CHAIN OF CUSTODY RECORD <br /> Date 9--r9`9a Page of T� <br /> GeoEnvironmental, Inc. <br /> ?r of Nonheni Calrfonua <br /> 1803 West March Lane Suite A Stockton California-95207 (209)9564o264 Fax(209)956-0700 <br /> Clientproject Manager Tests Required <br /> ~ a <br /> Phone Number <br /> Samplers (Signature) Invoice <br /> AGE <br /> Project Name r � Client ❑ <br /> r Sample Type <br /> Sample Location Date Time Water Solid NO °f Notes <br /> Number Description comp Stab Alr Conts <br /> a 56586 ti <br /> 56588 <br /> f <br /> ' �+ — la � q•�� — { 1) --{r 56589 <br /> q 2� c x rk 55590 <br /> r __56591 _ r <br /> t <br /> E _ , ✓ � ,�� � � � � 5652 <br /> uatelllme <br /> e rncuis e y {Signature) ece ve y gnat <br /> Date/Time <br /> RPhr-,-q�.(.�h.dbignature) Rrved by (Signature <br /> Relinquished by (Signature) Received by Mobile Laboratory for held analysis (Signature) <br /> Date/Time <br /> Date/Time <br /> Dispatched by (Signature) <br /> Dale/Ti ma Received for Laboratory by <br /> it <br /> I <br /> ff <br /> od of Shipment Laboralor Name � <br /> I hereby auth rrze the porformance of the above indicated work <br /> Special lnsituatio s <br />