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CHAIN F U TODY RECORD <br /> j � Advanced. <br /> GeoEnvironmental, Inc. _l DatePie or <br /> 637 Shaw Road-Stockton,Calitomia-96215-(209)46.7-1 DO$-Fax(209)467.1118 <br /> Client Pro ager <br /> Testi Required <br /> .1 <br /> one umber <br /> oe) 40 <br /> rs; { afore} Ifzvoice: <br /> Project Name2 <br /> AGE <br /> Giem r- <br /> ample Type <br /> Sample Location SSolid No'°� , Notes <br /> Date Time Water <br /> Number Description comp. Grab. Air Cortts. <br /> e inq os g atua terve ignature ate ime <br /> Relinquished by: (Signature) flece#vad by:(Signature) .7 I-Dktointe <br /> Relinquished by:(Signature) Rocrived.by Mobile Laboratory for field analysis:{5igrlature) l]itwliirrre <br /> I <br /> Dispatched by: (Signature) Date' imaRacqlvod or arY p �/rimeb <br /> Method of Shipment: Laboratory <br /> Y/I_'Special Insttuetions: I hereby a h rite the: ar rmanee of the above Indiealed work. <br />