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[ [ I [ t [ [ [ t [ [ [ I t [ t [ t I <br /> ( Advanced CHAIN OF CUSTODY RECORD <br /> GeoEnvironmental Inc, flame page ---�--a f <br /> 837 Shaw Hoed-Stockton,California-95218. 208 437-1008- 2D9 4 7- <br /> ��aa ( � ax{ ) 6 1418 <br /> Yt A 4*,. P t"� t Ma Tests Required <br /> Phone NumbRr <br /> . � o <br /> Samplers: Signature) ���N Invoice: <br /> •I eet�hMntt?:-- ?41U? MATO �,k-) `--� • Client <br /> Sample Location Safnple Ype No.of <br /> Date Tilene Water Solid Notes <br /> Number DeSci(ption _ Camp. Orab. Air COf11S. <br /> Rotmq+lj5 C }:, tg LILr4fr e o�Je..ur. <br /> J. <br /> L )flab <br /> Relinquished by:(Signature) ftecaivad by:(Slane,tura) <br /> RelinqWinhady;( pnature) Racalved by Uablle laboratory for field analysis:(Slpnatme) DatatTime <br /> Dispatched by.ISlonatme) DatefTim4 Fifteiv&d or ksibatatory gQate`(Tlme()� / <br /> j. <br /> Lj <br /> D Method o1 Shipment: Laborat Hams mk <br /> m <br /> Spec lal Instructions: i hereby authoriz ho perform es of ho above Indicated work. <br />