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r r r r � r r � � r r■■ ri■� r�r r r � r r <br /> Advanced CHAIN OF CUSTODY RECORD <br /> ri837GeoEnvironmental, Inc Date page of--L- <br /> 837 <br /> Shaw Road- Stockton, California- 95215 - (209)467-1006- Fax (209)467-1118 <br /> Client a Proppt Mapajoer <br /> � Tests Required <br /> hone qumber <br /> Q ) 40 ulf7j, <br /> Sa p ers (Signature) Invoice <br /> Project Name AGE 2/ <br /> Client ❑ <br /> Sample Location Sample Type <br /> Date Time Water Solid No of Notes <br /> Number Description comp Grab Air Conts <br /> 011b 3 427 <br /> A Ik <br /> ► - <br /> i 7' A-- <br /> 'A5 <br /> r' n� <br /> e inq i e i nenr ece ve y (Signature) <br /> tefTi <br /> Relinq fished by (Signature) J Received b (Signature) <br /> Y DatalTime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) Date/Time Received for bo tory y 0 e(Time <br /> Method of Shipment Laboratory s <br /> Special Instructions 1 hereby au p ze She t0 mance of the above Indicated work <br /> \Ji <br />