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1 [ C f [ f [ [ C t t 1 f [ f t f 1 1 <br /> Advanced CHAIN OF CUSTODY RECORD <br /> Z���c�l <br /> --- GeoEnviron mental, Inc. Date Page 2 of <br /> ��2 <br /> 4005 North Wilson Way-Stockton,California-95205-(209)467-1006-Fax(209)467-1118 <br /> ClientProject Manager Tests Required <br /> Wao7 <br /> Phone Number <br /> Samplers: natur ) I nvoice: <br /> ProjectNameaz , e,� Client <br /> Sample Location Sample Type No, of ?t <br /> Number Description Date Time Water Solid 60886 <br /> P Air Conts. <br /> comp. crab. <br /> k-57 &j(,--- i -C 02-2& 13:06 <br /> 7 ee- - - R1 dc' <br /> -3 - jv � =� ( >� K 60887 <br /> 3-20 <br /> - -- ---- -- --- -- H 60888 <br /> ReFrnqu7 <br /> ad Receivedy: ignature <br /> f ti 60889 <br /> Relinq ished by: (Signature) Received by: (Signature) <br /> ;rfwPAcb 7 A •7"; 60890 <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis:(Signature) 1! 60891 <br /> Dispatched by: (Signature) Date/Time Received for Laboratory by: <br /> Method of Shipment: Laboratory Name <br /> Il'l C -A`z <br /> Special Instructions: I herebyuthorr thil btforma ce of the above Indicated work. <br />