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Advanced <br /> Date <br /> CHAIN OF CUSTODY RECORD <br /> / /z k Paye -i— ot_ i_ <br /> GeoEnvironmental, Inc. <br /> }L 837 Shaw Road- Stockton, California-95275 - (208)467-1006-Fax (209) 467-1718 <br /> `/ ` t P 'ect Manager Tests R bred <br /> Client V V 1 s�— �1 <br /> Phonep Number (� <br /> Samplers: ( ' ) Invoice: <br /> AGE <br /> Pro)ectName Wrawe rsi, b - O �, �` tient <br /> Location Sample ion SampleTYPe No. of <br /> p Date Time Weser Solid Notes <br /> Y Number Oeesscription comp. crab. Air Carts. <br /> a <br /> m � <br /> � •inquis a y: ( igneture <br /> cane Bnature Dat rme <br /> v <br /> m <br /> mDatefTime <br /> [� Relinquished by: ( ignelure) Received by: (SiBrmture) <br /> m <br /> Relinquis ad by: (Signewie) Received 4 MoNie laboratory for field analysis:(elgrablre) Daterrime <br /> to <br /> ,may Dispatched by: (Signaluro) <br /> Datalrirne Receival for Laboratory by: Dateyrkne <br /> Lebo"Awy Nerve <br /> m Method o1 Shipment: <br /> Z 1 hereby authelize the perlermance of the above indicated work, <br /> N special instruoliora: <br /> m <br /> ti <br />