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r r r �■■ �■r ■■rr r r r r r r r r r r r �■r <br /> CHAIN OP CUSTODAECORD <br /> L Advanced � . <br /> zo <br /> GeoEnvironmental, Inc. ;2--5, q 61 Date Page of <br /> 637 Shaw Road- Stockton, California - 95215 - (209)467-1006- f=ax (20 )467-1118 <br /> Client Project Ma ager Tests Required <br /> P one Nymber <br /> 170e 6' 61 , <br /> SamPlers: (Signature} Invoice: <br /> Project Name -` AGE <br /> Client ❑ <br /> Sample Type <br /> Sample Location pate Time No. of <br /> Number Description Water Solid f Notes <br /> p Comp. Grab. Air Conts. { <br /> IAU) Ail- <br /> '--o11122D <br /> k <br /> 65424 r <br /> 1 5o2d ��- �( �! X66425 <br /> --rye <br /> V0A5 MEQ 5 0 ER <br /> e i um y: ( ig storey e`er„e yOED CO DITION '� APPROPRIATE ate/rime <br /> I� / vG rr1t) <br /> Relinquished by: (Si5natureY Received by: SS 6 ') _ C014TAIV71 D te/Time <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) �a Date/time <br /> Dispatched by: (Signature) Date/Time F011yed foc,Laborator by; DatelTime <br /> Method of Shipment: Laboratory Nam <br /> eciai Instructions: s� d I herebythorize performance of the above indicated work. <br /> (� { U C ! �— G+- \f l ck L L' <br /> r <br />