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• � E <br /> Advanced CHAIN O CUSTOD R C4RD <br /> - Date D,3 Page of <br /> GeoEnvironmental, Inc. <br /> 837 Shaw Road- Stockton, California-95215-(209)467-1006-Fax (209)467-1118 <br /> Client <br /> P � etM�ana�ger <br /> kV 'ei1�'(e� <br /> Tests Required <br /> Phonq Number <br /> f <br /> Samplers (Signature) Invoice. <br /> V AGE <br /> Project Name v �; Client ❑ <br /> Sample Type <br /> Sample Location Date TimeSolid No of Notes <br /> Number Description Camp Grrab Air Corns <br /> MW-2- I -� ` 114103 1410 X II X x <br /> IMWZ-Z 9t I x 1 X <br /> 03 1,131) 1 <br /> I <br /> 1M1 Z D` Q o31135 X X X <br /> S 103 82 <br /> IKV�3-30,1 qJSJ03 949 x <br /> e inquis a gnatureReceived y (Signature) goD <br /> te/Trme ` <br /> I <br /> —Relinquished by (Signature) Received by (Signature) Date/time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) ��-+..,,� Datelrime <br /> Dispatched by (Signature) Date/time Received for Laboratory by �-� Date/rim <br /> ) /D.�� <br /> Method of Shipment Laborato ame <br /> ` <br /> br L- Oue-" I L—A_ <br /> Special Instructions eraby authorize the performance of the above indicated work ' <br />