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Advanced CHAIN OF CUSTODY / CORD <br /> GeoEnvironmental, Inc. hate 7 Page r of <br /> of Nonhc171 Calffonna I <br /> 1803 West March Lane,Suite A-Stockton California 95207 (209)956-0264 Fax(209)956-0700 9fa 3 X A oZ93 CYC <br /> l Project Manager / 'f Tests R cared <br /> Client4'�t- f ]� F �/� r� ��_/-�.J /V" fay <br /> Phone Number <br /> Samplers (Signature) �1 Invoice <br /> U AGE <br /> Project Name ' /�,') ; Q/ <br /> `a� Client ❑ <br /> Sample Type � <br /> Sample Location Date Time Water — Solid No of � � o � t <br /> Number Description Comp crab Air Conts <br /> r <br /> ILO <br /> MA' 0 <br /> 0 7 <br /> V f• <br /> —2V47 i r��� <br /> jjy <br /> 7 +�7 t vC, <br /> e in is e y (Signa u e) Received by (Sig natuie Iq ' <br /> W �, �OG r� Citi 7–&-- /w`]�lC. /� ' r 67—Z _/ 7 S b-7Z t <br /> L <br /> Relinquished by (Signature) Received by (Si ature) Date/Time <br /> 41, <br /> Relinquished by (Signature) Received y Mobile Laboratory for held analysis (Signature) Date/Time <br /> Dispatched by (Signature) Date/Time Received for Laboratory by Date/Time <br /> Methodof Shrpmc Laborai ly Name r <br /> i ( J (`� C <br /> Special Instructions Y - 1 1 I hereby euthorrze 1he performance of the above indicated work <br /> i'iJ <br /> } , r a rl� i}�" ��t•�si47e a� <br />