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CHAIN F CUSTODY RECORD <br /> Date.97/9 P <br /> Advanced age � of--3L <br /> GeoEnvimnmental, Inc. <br /> 4005 North Wilson Way-SWddon,California•95205•(209)467.1006-fax{209)487 <br /> A <br /> Clierft �A! Project Manauer Tests Required <br /> �t <br /> Phone Number / <br /> 2Pi. 442-190 <br /> —_ Samplers: (Signature) Iryvoice: <br /> AGE <br /> Project Name Client ❑ <br /> Ll <br /> Sample ovation Dale Time Waipie Type t Solid No.of <br /> Number DescriptionComp. Grab. Air Conts, , bb <br /> twl <br /> ZD <br /> K-3 <br /> lielr1ra <br /> llquis enatura acaive 9natu» 1 3 te/Ttme <br /> Op.��ishe-it, nature) c ed Dy (Si re) �•�/ Dale(riene <br /> Relinquished by: (3rgnature Received by Mobile Laboratory for field analysis: (Signature) Oate/Ttrtw <br /> Dispatched by'(Signature) DalerTirne Fiseeiyed for Laboratory by- DaleJTime <br /> Me odoipment: Laboratory Name <br /> �y � grmanu o1 the above Indicated work. <br /> Special lnsuuetio r. I h <br /> ON Ct <br /> 000DC0NDm0N APPRO <br /> ____. <br />