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• CHAIN OF CUSTODY RECORD <br /> Advanced z of� <br /> -—� GeoEnvironmental, Inc. X10 kc Date Pae �- <br /> 837 Shaw Road - Stockton, California 95215 - (209)467-1006 - Fax (209) 467-1118 L� <br /> Client Project a�nag r Tests Required <br /> ; � <br /> P one umber <br /> 4 7 <br /> a lers Signature) Invoice <br /> / AGE <br /> Protect Nam© Client <br /> Sample Type <br /> Sample Location Date Time Water Solid No of Notes <br /> Number Description Comp grab Air Conts <br /> e in s e y6(SignatO. <br /> e, –L Signature) <br /> r, e�:?4`p e�sq - DalelTlme <br /> C" 1: 7LIT A11"GFRbVx'H <br /> IT <br /> Rei quishe by Re�yey �� � Date/time <br /> Relinquished by (Signature) Received by Mobile laboratory for field analysts (Signature) DatalTime <br /> Dispatched by (Signature} Date/time ei for la oraloryl; O i?alelTime <br /> --Jit i� L <br /> Lab al ry am <br /> Method of shipmen <br /> S ec I ensetuctiona I hereby autho th arformance'of the above Indicated work <br /> e4 tr—�Zti �-- i� C- G <br />