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�, �� .w� ice. a�� i.w..■ �a ww iwn.. w... �� �.■ aw �e �� �r ■� ..... <br /> l <br /> Advanced CHAIN OF CUSTODY-RECORD <br /> GeoEnyironmenta�, IncDate 7-P-06. Page of <br /> ��,��,� �?���+ �C— <br /> 4005 North Wilson Way-Stockton,Cafifornia-95205-(209)467-1006-Fax(209)467-1118 <br /> Client ¢ Pro ect Manager bTests Required <br /> �& I <br /> Phone Number <br /> 4 <br /> Samplers (Signature) Invoice <br /> Protect Name J(�� �nClient ❑ <br /> I •r 11 AGE <br /> / <br /> Sample Location Sample Type No of <br /> Number Description Date TimeWater Air Solid Conts !�� Notes <br /> Comp Grab <br /> (Awl 25 <br /> ___43.976 <br /> -A3977 <br /> 43978 <br /> i <br /> kk�50 74b - -- -43979 , <br /> MA3- 6,; __--43980 <br /> mw�- WI 1- DD JJ 43981 <br /> Ei u� hed by ( i na u Received by ignature <br /> Relinquished by (signature tjf�� J ��IQ��ZstG �el Date/Time <br /> ..-T•r� �a���i Ptt L <br /> 4 .la tet++ 1 i1r eeewe obile Laboratory for field analysis (Signature) Date/Time <br /> Hr 14�In1.,i'Ti Y.t �'�ty�'i`* trL <br /> DiapatcheKh;0I " sem, t _ ,Jt+1r♦:i u Daterrime ac ive4 for Lab st+or'}y by 1] Date/Time <br /> Method of Shipment LKb �t?Name <br /> Special Instructions I hereby authors a the performance of the above indicated work <br /> 6125E MIEE4121 <br /> OF or I <br /> 7 IA AQA f 1 kt le /dilrl l , / fi r r f � 43 Lit r ��� L�/ .L� t I c lti— T 4< < <� u <br />