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Advanced CHAIN OF CUSTODY RECORD <br /> -~ GeoEnvironmental, Inc �2Date 4tIL61 Page of <br /> 837 Shaw Road-Stockton, Calffornfa-95215 - (209)467-1006- Fax(208) 467-1118 <br /> Client ooec- -(ijAcy- Pr ct L er Tests Required <br /> Aa <br /> Phone Number <br /> 54EC Ney � e <br /> S lers Ig ature Invoice <br /> Project Name "gk' tAt L Lae AGE <br /> 1" Client ❑ <br /> Sample Location Sample Type <br /> Number Description Date Time Water Alr CoSolid No of ,�!' 79942 <br /> tns �--- - -- <br /> Comp drab <br /> Z— r Pq-27dr b=69 r 79943 <br /> 7904411 <br /> z~ rc— <br /> f <br /> WZ-- 4• S� 1 0 -- - <br /> LJ3@ aD - 61 79945 H <br /> 79948 <br /> M03- <br /> 0 n ed y mature eca va y -flignatum3 pate/Tit e <br /> e rtqu a e by atura} Received by (Signature) <br /> FETAL O1HEI� . ��1 .-T 79947 <br /> gave Relinquished by {l J rTo) �i•r qa y Mo ile Lab ratory for field analysis (Signature) <br /> � i,Cil Iv <br /> I r+ 5 n i <br /> Dispatched by (Sige calved for Laboratory Da <br /> 1?0 1SGE ABSENT CONT01 S C vt� <br /> Method of Shi ment Labordta Name <br /> t-- -A 1- 79948 <br /> Special Insitu`chons I hereby a.u!,hA4Ze the parform.&nc of the <br /> el�lt"aI�� l� <br />