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{ Advanced CHAIN OF CUSTODY <br /> a <br /> GeoEnvirontnental, Inc. Date Y '6' :5 Pae / <br /> of Nolrhern California <br /> tfttYd Wesl March Lane, Suite A-Stockton,Calilomia-95207-(208)95ra0264 Fax(208)856-0700uo <br /> -- <br /> tD <br /> Client .l Project Manager516m1 <br /> �? b 6) �.$ Tests Required 1 A <br /> Phone Number 3 <br /> p �� Samplers: (Signature I ,, Invoice: 113 <br /> It: <br /> Shl l7 S� L LCAO AGE Q o <br /> Project Name �XXAtJ S r ti '`�® �,,�''�`'° �� (.OLD,�tk,L�C, <br /> Client <br /> Sample Location Sample Type 1 r(} w <br /> Number Description Date Time Water Air Solid No.st /� J�1 ��} Notes a <br /> Comp, Orr b, / <br /> CD <br /> 46 UZ <br /> cedes C��. �r µ �a:�a ✓ ✓ ✓ t�-�c, �,i-�� <br /> cr':tFCi.`ce-�. <br /> r�.yi '1 0 <br /> �rl-'•-}til y; ¢tf2 r l�,y.ry67Jr�'°;7' ! <�3'CQ' YF4:fZ; i <br /> ►-�} f S /s� i r tt• ��°<r!i1.J ,F�D 5�',l.�ti..t <br /> e mqu a a y: gnature fi-�` i4v?Tti�'y4 '�� <br /> • �p• •`), y? ( 9na� _ Date/Time <br /> allnqu a y: ( nature r"i-'""" {, / ' ' f 4?:3(9,1 <br /> ved by: (Signal ) <br /> Date/Time <br /> Aol nqu she by: gneima) Aecelved liy,Mn 11e: atiQ��1 <br /> 8 ) L!E ,v' i-c..rignature) Date/Time <br /> DI-patched-by. (signet �• W <br /> Do <br /> nn N'10n1mE y. t Laboratory by: N <br /> GQDU UQlSllit '!..•,� 'i. SY�S Dale/Time <br /> �a�p� u <br /> M ethed of shipment: r.lW Vi t Laborelory Name - <br /> coaLPfr �a �,l PFi(riJ dT ,G N <br /> Speciallnslructio�na: ' <br /> Ce{ 1 hereby authorize the performance of the above indicated work. <br />