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Wvanrced CHAIN OF CUSTODY CORD <br /> GeoEnvilon nental, Inc Dale 0�11z 9q Page <br /> 4005 North Wilson Way Stockton,California 95205 (209)467 1006 Fax(209)467 111© <br /> 1561ZA&,5L13 <br /> Client AOU-7- Erik Ck Lbbte: s <br /> Project Manager Tests Required <br /> arc c .'—C!-� <br /> Phon Number <br /> Sari�S ignalure) Invoice <br /> Project Name `' �j f� AGE <br /> A]60(7L �`�' /�Z '"' Client <br /> Sample Location Sample TypK No <br /> Number Description Dale Time Water Air Solid Contsl Notes <br /> Comp Grab <br /> , <br /> P - f qSIJZ q_1 CGS:3S;dw rn 62 S <br /> 10879 ; <br /> , <br /> 10080 <br /> , <br /> Re ,s a b ,g Mule) iv y ignaturo date/time <br /> 5��3~s <br /> D 3 SSDArP 5-- DA TI�f� 512/91 <br /> Rohnq hed by (Signature) Re r4ed by (Sign turo) DatelTtme <br /> Relinquished by (Signature) Received by Mobile Laboratory for held analysis (Signature) balelTime <br /> Orspatched by (Signature) Dale/Time Ilecnwod lot laboratory by palellime <br /> Method of Shipment ), L <br /> , JJ l LaboratoryNam.me <br /> - P --C 1`� � V CU�C� /1� f 7 l� eco.✓[�1 <br /> Special Instructions Ic ��r�j8 VOAS ON METALS OVIER f hereby authorize the perform nce of the above Indicated work <br /> —RRESER 001�— <br /> GOOD CONDITION APPROPRIATE <br /> ACAS AINERS <br />