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j AdvancedCHAIN OF CUSTODY RECORD <br /> GeoEnvironmental, Inc. 1 Date 7-2-0 Page _� of _?- <br /> - - _A <br /> 4005 North Wilson Way-Stockton,California-95205-(209)467 1006-Fax(2 9)467-1118 <br /> Client Project Manager _ Tests Required <br /> G �CB'f U_ L&TTLe-) <br /> Phone Number <br /> ,4!j?aje , <br /> Samplers: (Signature) Invoice: <br /> AGE [EJ— <br /> Project Name t,V LFII Client 0 <br /> Sample Location Sample Type <br /> Date Time Water Solid No. of � Oi 3 2 5 3 4 <br /> Number Description Comp. Grab. Air Conts. , <br /> x T-15H p -- D 7 f 2 <br /> r <br /> k Q a— tiC No..9 <br /> O2535 <br /> o _ No.92-93 <br /> `� �( /�`{� ✓ �- r ; Nn_0-5.37 t- <br /> 7g �3 � F,C> ; No.92538 <br /> r <br /> T' —3 Q btsIS �C �NNo. 92539 , <br /> e mq a y: ( ignature) rie eive y: (Signature) N0. 92540 <br /> Relindbished by: (Signature) Received by: (Signature) <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) Date/Time <br /> Dispatched by: (Signature) Date/Time Received for Laboratory by: Date/Time <br /> Method of Shipment: Laboratory Nam <br /> Special Instructions: ' I.J VU I hereby authorize he performance of the above indicated work. <br /> ✓ IlATIONight <br /> . <br /> GOOD CONnITI N _ i;'l i <br /> F ----- ' <br /> •)i"lt.,` X11. -i'' - ---- ,rU�!. ....., n'--• , <br />