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Advanced CHAIN OF CUSTOD REt.4 <br /> — - GeoEnvironmental, Inc. Date s-z5' -15-Page Lof �. <br /> of Nonhein Culffonuu <br /> 1803 West March Lane,Suite A-Stockton California 95207 (209)956-0264-Fax(209)956-0700 4219 <br /> Project Manager <br /> Client �; �( f o r d a� Tests RegRequiredB o b �,� <br /> Phone Number <br /> (;Laq ? QS�-o�6N <br /> Samplers (Signature) Invoice <br /> Pro ect Name AGE <br /> 1 fa 4 d h Kidd F-5 rd Te � � h� Client ❑ <br /> a <br /> Sample Location Date Time Water Sample Type Solid No of �� Notes <br /> Number Description comp Grab Air Conts 'l <br /> 5 P -3 STo��Spi l � , ''I/ 1x'1K52881 <br /> z <br /> —Relinquished y (Signature) i y ig ure y Dala(Trme <br /> Relinquished by (Signature) cewed by (St nature) DatelTime <br /> Relinquished by (Signature) Received by Mobile Laboratory for Iteld analysts (Signature) DalerTime <br /> Dispatched by (Signature) Date/Time Received for Laboratory by Date/Ttme <br /> Method of Shipment Laboratory Name <br /> J/ 6d2-1W/ r K`trate bV-1( <br /> Special lrrstructions i rf,is 11J ��i� � L�) i hereby authorize the performance of the above indicated work <br /> 26, <br /> MUM if I4t <br /> h f <br />