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CHAIN O CUSTODYIECORD <br /> Advanced <br /> GeoEnvironmental, Inc. Elate Z Page of� <br /> 837 Shaw Road Stockton, California-95215 - (209) 467-1006 Fax (209)467-1118 <br /> Ghent Project Mapage Tests Required <br /> P one umber <br /> mp ers (Signature) t invoice <br /> Project Name Z�) 1C AGEd <br /> l �.�1G��--�r,f �j—'� T Client E] <br /> Sam <br /> Sample Location pate Time Wa maple Type Soled No of � Notes <br /> Number Description Comp Grab Air Conts <br /> v i I <br /> Ile inqur gnat re Receivedy ignature OaleRime <br /> �V �C 3'16 <br /> elingwshed by (Signature) V Received by (Signature) Dale/7ime <br /> r <br /> 9elinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Trme <br /> Dispatched by (Signature) Date/TIma Received for Laborator � D Le/Time <br /> Method of Shipment /' Laborato N me <br /> Special Instructions I hereby auth ze;lh* ,, formance of the above Indicated work <br />