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" l dvanced CHAIN 9F, CUSTODY RECORD <br /> GeoEnvironmentat, Inc. Cc� ` Date Vkk L, Page --L of( <br /> 837 Shaw Road - Stockton, California- 95215- (209) 467-1006- Fax (209)467-1118 <br /> Client Pro ect Manaaer <br /> Tests Required <br /> P e Number <br /> f <br /> Sa rs ( nature) Invoice <br /> Project NameAGE � . <br /> Client ❑ <br /> Sample Location Sample Type <br /> Number Description Date Time Water Solid No of Notes <br /> Comp Grab <br /> AJ <br /> COnfS <br /> vons �a <br /> 4- <br /> �il APPRO AFATE <br /> rL, ,i0l SPAC ABSENT CoynDUMS­ <br /> ATMYIN <br /> e n is s ig atReceived y ignature <br /> 19ate/Tlme,y <br /> Relinquished by (Signa ure) Received by (Signature) rl <br /> Date/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) 19.e_ <br /> DatefTime <br /> Dispatched by (Signature) Datef"hrrie Re el for t_abora ry b <br /> DatefTime <br /> s2 06 <br /> Method of Shipment LaborA o I me <br /> L <br /> 'M <br /> pecial Instructions _ ! I herebyauthor the a or nce of the above indicated work <br /> Q CC t v`CCS' l� �. fr p <br />