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Advanced CHAIN F CUSTODY RECORD <br /> r <br /> N --- '` GeoEnvironmentai Inc. ° . page of-4— <br /> 837 Shaw Road-Stockton.California• 95215-(209)467-1006-Fox( 09}467.1118 <br /> Client Prolesanagen <br /> Tuts Required � <br /> P e NLuwrn <br /> Q <br /> nature) lrwoi(:e: <br /> Project Name AGE <br /> O <br /> Client ❑ <br /> Sample ype / <br /> Sample Location Water Solid N° <br /> Date Time Notes <br /> D' Number Description Air Coots. <br /> Q Comp. Grab_ <br /> 79498 <br /> 74499 <br /> m <br /> LO _t:a <br /> APROPRME <br /> i <br /> U <br /> L <br /> e mqi e y ign tun ece ve y: (Signature) <br /> to m. <br /> m <br /> Relinquished by: (Signature) Received D (Slonature ate ime <br /> o y: I <br /> 4J <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analyals:(Signature) Date/Time <br /> m <br /> e <br /> Q <br /> Dispatched by: (Signature} Datelfime Received for laboratory (Tat /Time <br /> , l <br /> Q Method of Shipment: Laboratory <br /> 1 <br /> U <br /> 0 Special Inatructlons: i hereby authorl he pe ormance o1 the above indicated work. <br /> L 1� <br /> 41 <br /> �. <br /> CD <br />