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1 <br /> ( Advanced 1 CHAIN QFSTODY RECORD <br /> 3 <br /> GeoEnvtronmental, Inc. Dat e 9 Page —/-- Of <br /> 4005 North Wilson Way-Stockton,Califomia-95205-(209)467-1006-Fax(209)467-1118 <br /> } <br /> Project Manager f Tests Required <br /> aired q <br /> P ne N er <br /> -l®©Co oti <br /> Samplers: (Signature) f�0� Invoice: <br /> r <br /> Project Name r. �,�,I <br /> AG E <br /> c�' Client a, <br /> - _. Sample TiVe <br /> Sample Location Date Time Water Solid No. of �r Note <br /> Number Description Air Conts. <br /> Comp. crab. <br /> tVv1N- lV91Z 3:05 r X ( AU <br /> 151—2 Aft OFL6 ' <br /> D4 1A 5 7- �t) <br /> (02 99 31IOD �T9L� S� <br /> e to x <br /> ig cure Receivedy: (Signature) _F Date/Time <br /> 5 S Df 1_A z q <br /> Relinqui d'by: (Signature) Received by: (Signature) Date/Time <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) DatelTime <br /> Dispatched by: (Signature) Date/Time Received for Laboratory by: Date/Time <br /> Method of Shipment: Lab t ry N e <br /> CAI, � � 1 <br /> Special Instructions ( I hereb authorize the performance of the above indicated work, <br /> * C bio d :.5 � le- B l =ID 4A)fI L /Vd4f 41 <br /> e <br />