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Advanced CHAIN PF, CUSTODY RECORD <br /> --_ GeoEnvironmental, Inc. °ate d� Page --Lor <br /> 837 Show Road - Stxktan, California -95215-(209)467-1 006 - Fax{209y 467-1119 � "rfJ <br /> Project Manager <br /> Clkent [.t�Da ANA. 5� J Tests Required <br /> oneNIJITIbet 7� <br /> Samplers (Signature) <br /> 2�(, � <br /> Project Name AGE�. <br /> Client p <br /> Sample Location Sample Type I No of <br /> Number Description gate Time Water Rlr 5011dConts Notes <br /> Comp Grab <br /> 1-7L &>6 <br /> �.- — X /V\X <br /> 0q-zq <br /> x Ll xp( ir\ x x x X. <br /> I )(K x V,/ <br /> I- - k cv- q X X��Ix <br /> Flaiir,Iu,shed cy ,ai6nausret 7v/-�rr: <br /> f&;� b[: <br /> ReiinquEahed by (8ignatuie) Received by (Wanatura) DatelT me <br /> %linqu a ed by ( ipnature) ftatetved by lltoblle Leboralory for field analyein (Stgnature) � Date.Mmo <br /> f l L <br /> Dispatched by (Slgnetura) t3atafTime Ra r0 <br /> va or rator�f �alafTime <br /> n �e ,� p�„ s <br /> tr <br /> D MethaQ of Shlprnarrt /^ r } laboratory flame <br /> -13 Special Inetruetions ��- f � ��� <br /> I horaby authorise the perfasmsnee of the above indicated wark <br />