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( *Advanced <br /> CHAIN OF CUSTODY*CORD <br /> _ GeoEnvtronmetital, Inc Date LOINDIpage of <br /> 837 Shaw Road - Stockton Cailfornia 95215- (209) 467 1006 Fax (209) 467-1118 <br /> Client �' AJ3 Project Manager <br /> F It'L / ,V2e Tests Requir d <br /> Phone Number ! <br /> _Name <br /> Project Samplers (Signature) Involc A� GE <br /> I � - , <br /> Client ❑ <br /> Sample Location Sample Type No of <br /> Number Descn tion Date Time Water Solid Nates <br /> Comp drab Air COntS <br /> 3n f5 V/, <br /> -B2oo2 <br /> } <br /> 2 82003_- <br /> 8200_4_- <br /> g3r � 1u240 _8200 <br /> 82008 <br /> 13 D �'� 82007---- <br /> , 82008 <br /> e nqu ad by gnat reecT1—arva� y gnatura DatelTlme <br /> Rel nqu ed y g re) Received by (Signature) Dateffime <br /> Relinquished y (Signature) Received by Mobile Laboratory for field analysis (Signature) Datef ime <br /> Dispatched by (Signature) DateMme eca a or Laboratory b ate/Time <br /> tL �o <br /> Method of Shipment ICI=/ PRESERVATION !I— M RILT Laboratory He <br /> fBi� fi6T<t-��P L f <br /> Special Instructlan, –� I hereby authorize the erformance of the ab Indicated work <br /> HEAR SPACE ABSENT---.,. CONTAINERS _ <br /> •-P M �� rr <br />