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Advanced CHAIN OFUSTODY RECORD <br /> - _- GeoEnyironmental, Inc. Date rr �� of Page of <br /> 837 Shaw Road-Stockton, California-95215-(209)467-1006-Fax(209)467-111 a <br /> Client ,r ��. a Project M 2er Tests Required <br /> C/ i I- ei a d rn k Phone Number <br /> 9 I JOZ 7 o06 <br /> Samp rs {Signature} Invoice <br /> Project Name � �. AGE <br /> Zet""VkAirl, Client ❑ <br /> Sample Location Sample Type No of � �� <br /> Number Description Date Time Water Air Solid Conts Q Nates <br /> Comp arab <br /> ,wZ o3l�d <br /> kt 3 o iq C's w o'5i't 03 A60 <br /> s w <br /> yo-a 1-9 0 3w 7 <br /> G <br /> I <br /> el s ed�` ignalure D ece va y igna(ura Date/Ti e = <br /> t/ d <br /> AWhTiupshed by (Signature) Received by (Signature) Oa e/1 ime <br /> Relinquished by (Signature) Received by Mobilo Laboratory for field analysis (Signature) Date/Time <br /> I <br /> I <br /> Dispatched by (Signature) Date/Time Rec ived for Laborato y Date[Time <br /> Method of Shipment oratory Nam <br /> Lr�14'P ewo r ' <br /> Special Instructions I hereby au <br /> orta once of the above indicated work <br />