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r r rr r r r r r r r r r r �r rr r r■� <br /> CHAIN OF CUSTODY WORD . <br /> j Advanced f <br /> Date Page of <br /> GeoEnvironmental, Inc. <br /> 4005 North Wilson Way-Stockton,California-95205-(209)467-1006-Fax(209)467-1118 �`2�-7 <br /> Ll D <br /> ClientProject Manager <br /> �-y g fU, 0 Tests Required <br /> Phone Number <br /> Samplers: (Signature) Invoice: <br /> ` AGE G7r <br /> Project Name h (� Client ❑ <br /> Sample Location Sample Type No. of <br /> Date Time Water Solid � Notes r <br /> Number Description Air Conts. <br /> Comp. (arab. r <br /> ert� �0 �° rF 90056 <br /> 90057 <br /> 7 r <br /> e r "is y: L rgnatu nec ve y: rgna _ ! <br /> DalelTime ' <br /> Relinquished y: rgna r rued b rd /\/ <br /> �� Date/Time <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) DateTrime <br /> Dispatched by:(Signature) Date/Time Received for Laboratory by. Date/Time <br /> .1-1 pot <br /> Method of Shipment: VOO&GI t OTIIER Laboralory,Name <br /> Special Instructions., G�V�LU1'�IF�V� ,i �ppptyCpl�TC ammmmin I hereby aut orize a perlormance of the above indicated work. <br /> GOOD LU U F V I�r�fiUfll 1G � � <br />