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Advanced <br /> CHAIN PF,CUSTODY RECORD <br /> _- GeoEnvironmental, Inc ' 1 �`�_ ante a Page of <br /> 837 Straw Road Stockton, California-95215-(200)467-1006 - ax(209)467-1118 <br /> Client Project Mauagec Tests Required <br /> Phyine NLtmber <br /> lJU� <br /> Sam rs (SI nature) ` Invoice; <br /> Prolect Name / AGE <br /> gyp,,., Cilent <br /> rJ 1 U��—V � Pta2xs ❑ <br /> Sample Location Date Time Sample Type Solid No of Notes <br /> Number Description WaterI Air conts <br /> Camp Grab i <br /> ow@ INC- <br /> AW <br /> 1 ! , <br /> --_._152-6-1--- - L <br /> '7Z13.2o <br /> /0 65262 <br /> FRIGfir <br /> u na re eco ve y gnature - s_ <br /> V :T -y /�abo <br /> Rel n u a e ( Ignature� Received by (Signature) patelTlme <br /> a nqu s ad by (Signature) Received by Mobile Laboratory for field analysis (Signature) \�({/ Date/Time <br /> Dispatched by (Signature) pale! me lFlepelved for a oralory y a[Time <br /> Method of Shipment I. cra or Nam <br /> Special Instructions Y��5 ILS areby the ixe the erlorma a of the above indicated work <br /> MEW <br /> - ERVATION <br /> GOOD CONDITION OPRIAT� <br /> 4 1 <br /> I _ - <br />