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% CHAIN OF CUSTODY RECORD <br /> o Advanced 9808514 Date Page / d <br /> GeoEnvironmental, Inc. <br /> 4005 Norlh W M way SWditn,Cagbmle 85205-(206)467.1006-Fax(209)467-1118 <br /> _ <br /> Project . 77�_ Tests Required <br /> to Pttmm Number / <br /> Samplers:(Signature) 17' Irnrdce:—/ <br /> 00 _ AGE {,d <br /> 0% clierd C1 <br /> N ,ict Name � a T / <br /> � Y No.d Notes <br /> Sample bio" Date Time water Solid Corns / ` `/ j / <br /> Number Description comp. otab. Ak i <br /> 7 ! Q, �y 2� ✓ -0 <br /> N <br /> ♦O% <br /> at <br /> Welve y: CIA ur <br /> in4e s f ► /jV-I �/r( OatelTlme <br /> WbRu aeklre Received by.(Si9NMIure) <br /> Q MAY f^ � Received by Mobile Laboralory for Field anaFyais:t9lfaatufob <br /> U <br /> v t ate Ime •vod lot vat . DateiTiata <br /> >_ Dispatched by:(siaa.+ery <br /> J <br /> Q Labor ry Herne <br /> -cc Ma*Md al <br /> a( v 1 have o thofize the petformeao of the above iadicaled wvwtc. <br /> C> special In w*cbww: <br /> LL(3v. <br /> N <br /> b>• IIIIIIIIII■ � 1 <br />