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� esaa� �w Is t1i � s i ■� � � � � � � � � � � <br /> i • <br /> CHAIN OF CUSTODYECORD <br /> � Advanced y <br /> GeoEnvjronmental, Inc0 ,�. ' ;?� � Date 2- Page of <br /> 837 Shaw Road Stockton, California 95215- (209)467 1006- Fax (209)467 1119 <br /> Client Project Manor <br /> ../ Tests Required <br /> Li I <br /> P ne Number <br /> i <br /> Sa errs (Signature) Invoice <br /> AGE <br /> i <br /> Prosect Name E]s��.lL�her f- Client <br /> Sample Type <br /> Sample Location r <br /> Date Time Water Solid No of Notes <br /> Number Description comp Grab Air Conts <br /> el <br /> l� e EF t 0 r ~ <br /> 6t- <br /> X_ <br /> rn w`` , i" [?�I J <br /> APl°, I'' <br /> e inq r gn ur Received by (Signature) atelTime <br /> elinquiahe y (Signalure) Received by (Signature) DatelTime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> s <br /> Dispatched by (Signature) dale/Time Rekaifiild for L-aboratory ,F Na, Date[Time <br /> IV <br /> Method of Shipment Labors ry N me <br /> (�peal Instructions a ho the fo►manc of the above Indicated work <br /> _ { I hereby <br /> F <br />