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p <br /> Advanced. CHAIN'OF CUSTODY RECORD <br /> GeoEnironmental, Inc. Date L4. c� Page rn <br /> D <br /> 837 Shaw Road_Stockton.Catttomla-95215-(203)467.1006-Fax(209)467-1118 � <br /> >u <br /> CD <br /> Client , �,�ja h Project M ager Tests Required m <br /> H <br /> Phoma Number <br /> G1 <br /> G1 <br /> Sampiers: (5 n ure) Invoice: <br /> Project Name ASE=��.��,,��h�rc.{ Cdient �, <br /> JJ <br /> SamIlle Type <br /> Sample Location No.of <br /> Number Description Date Time Water AirSaiid Cants. �• � Notes n <br /> Comp. 6tab . <br /> I <br /> "!'-- 70 <br /> 73 - 'Y' �sr�'e�t . �Y orV 5 <br /> 1 lb =Iv ✓ 1 <br /> T� lei Ll V-- <br /> e s • lure <br /> Received y: gna ure Date/Tims <br /> U1 <br /> Relingutsbod b ,.(Signature) Received by: (Sipnaturo} [late/Time N <br /> fU <br /> RelinquiliKea by.t ignatUM) Received by Mobile Laboratory for Vold arralystt:(Signawrek t7n1e/1 ime rru <br /> N <br /> Dispetahed by-.(Signature) Date(Time calveI fara or oty.y: Date/Time <br /> Method of Shipment: �s „ �! L Laboratory Name f f F m <br /> Cfv[/ �1'[�f' 'j r �jy��r1• '� <br /> 8peolal Instfoollonr_ 1 hereby authorize th�perforivanc a above indicated work_ <br />