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Advanced 0 CHAIN OF CUSTODACORD <br /> L� - <br /> - - GeoEnvironmental, Inc Date Pae of <br /> -� <br /> 4005 North Wilson Way Stockton,California-95205 (209)467 1006-Fax(209)467-1118 1002-01 XR&935 <br /> Client �� Project Manager L-{ / T lie ufred <br /> G <br /> Phone Number <br /> Samplers (Signature) Invoice <br /> AGE <br /> Project Name Q r Ir Client ❑ <br /> Sample Type � ti <br /> Sample Location No of <br /> Date Time Water Solid Notes�Z'_l <br /> Number Description Conts <br /> p comp Grab Air t . }y{ =� �� ;� <br /> W_ <br /> lie � X (r�. <br /> --� z 3 l���� � NO <br /> —17 <br /> M �V —q <br /> }� <br /> 1 - - 2 <br /> Re in urs ied by Signaiure) eceive y ig ture `tea s• ° - "��� <br /> 5 I<z- <br /> 7 <br /> �o �o 3:ao <br /> Relinquished by (Signature) ived by (Sign ture) , Datefrime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) Date/Time Received for Laboratory by Date/Time <br /> Method of Shipment GLJt2 Laborat ry Napz <br /> [Ile iV- <br /> Special Instructionsp r' I hereby authorize t e per ormance of the above indicated work <br /> VOA; <br /> J <br /> YOON METALS OTHER <br /> t <br /> Gf)ODCONpi inu J APPROPRIATE <br /> 1*A W,1 ABSENT CONTAINERS-St— <br />