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Advanced CHAIN OF CUSTODY RECORD <br /> _ GeoEnvironmental, Inc. Date 95 Pa9e of--Z <br /> -" of Nfwlteni Caltforma <br /> 11303 West March Lane Suite A Stockton,California-95207-(209)956.0264-Fax(209)956-0700 <br /> Client �Q Project Manager v <br /> Tests Required <br /> Phone llNumber <br /> srri�� O <br /> Samplers (Signature) Invoice <br /> Project Name ACE <br /> Client ❑ <br /> Sample Location Sample Type No <br /> Number Description <br /> Date Time Water Air Solid Cariisf �� Notes <br /> Comp (arab <br /> M - Z 9.vM(7-29 -95z: <br /> --. �. .q ✓ <br /> I <br /> •�b y <br /> W-- -7."4s <br /> i <br /> i <br /> I <br /> e inquis e by (Signature) <br /> e 9y y ign a /_9-57, .�9 n Date/Time <br /> Relinquished by ( ignature ceived by (Si ature) Dale/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date rime <br /> Dispatched by (Signature) Date/Time Received for Laboratory by I <br /> DelelTlme <br /> th d of Shipment Llaboratory Name <br /> Special Instructions _ I hereby authorize he performance of the above Indicated work <br /> i <br /> ta <br /> cc <br /> lJi <br /> l_ [C'Mull if <br /> t `r)SPACE ABSLI�€,� C��[. <br />