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Advanced CHAIN OF CUSTODY RECORD <br /> GeoEnvironmental, Inc. 9`, 9� 2u \MA1 L tou/ Date o 2 rage Of <br /> 837 Shaw Road -Stockton.California-95215- (209)467-1006- Fax ( 9)467-1118 <br /> Client Project Manager Tests Required <br /> P ne Number <br /> A497 162(a <br /> Sam rs (signature) Invoice. <br /> Project Name AGS <br /> C � Client <br /> Sample Location Sample Type No of <br /> Number Description Date Time Water Air Solid Conts Notes <br /> Camp Grab <br /> 771� <br /> 8821 <br /> Lig ZC7 <br /> 88122 ` <br /> e inquis e y ignature ece ve y ignature telTime <br /> 02 <br /> Relinquished by (Signature) Received by (Signature) Date/Time <br /> Relinquished by {Signature) Received by Mobile Laboratory for field analysis (Signature) A5 rAy: Date/Time <br /> Dispalched by (Signalu►e) datelTime Received for Laboratory by Date/Time <br /> C.E? Cramb 1---fA-L 01/1)-- <br /> Method of Shipment t Laboratory Na <br /> Speciai Inatructiona & I+FCT►t � OTHER 1 hereby authorize the perarmance of the above Indicated work <br /> ��--�- PRESERVATION <br /> k9AU SPACEAPPROPRIATE <br /> �� <br />