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� { Advanced lU� C <br /> HAIN OF CUSTODY RECORD <br /> Date Z� Page —A— of <br /> GeoEnvironmental, Inc. <br /> 837 Shaw Road - Stockton, California - 95215 - (209) 467-1006 - Fax (209)467-1118 <br /> Client C�\e � — Pr ��anage�D V - � Tests Qquired <br /> - Phone N7ber <br /> �� H 6-7--�o°G i� o <br /> Samplers: (Si nature) //Q invoice: <br /> `CI AGE <br /> Project Name n 'pN�+ !� �y � `o � � Client <br /> Sample Type ❑ <br /> Sample Location Date Time Solid No. of �� N Notes <br /> on Water <br /> Number Descri ti <br /> p Comp. Grab. Air rCOntS, <br /> �W � X21 z03 t V7 3 S �f !, x /� X X <br /> ,�w 2- t( M\J -2- + tt 0�26 x X x X <br /> AW3 {' AAW 2 {63;6 X X X X <br /> nu S 11 MW 41 10 6 X X X <br /> 7 t° <br /> G O APPROPRIATE ' <br /> HE D S ACE BS NT CONTAINFRS <br /> DE 'HL RIN TED PRESERVED <br /> cPcG h 7 l� i e <br /> Relinquished y: { ig tu Received by: g e <br /> PRESERVATION [J—' <br /> Date ime <br /> Relinquished by: (Signature) Received by: Signature) �Tn <br /> Date(Time <br /> Reiinquished by: (Signature) Received by Mobile I aboratory for field analysis: (Signature) <br /> _ DatelTime <br /> Dispatched by' (Signature) Date/rime cei d t Laboratory_ by ��11'K r <br /> Method of Shipment: LabA f�t ry <br /> O �`� /v,C <br /> U <br /> /i 1 hereby authorize a performance of iha above Indicated work. <br /> Special instructions: <br />