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Advanced CHAIN OF CUSTODY RECORD <br /> GeoEnvironmental, Inc Date))3°� page of <br /> 1803 West March Lane Sutic A Stockton California 95207 (209)956-0264 Fax(209)956 0700 <br /> en[ Pro)ect Manager <br /> N � -�- , C E � Tests Required <br /> Phone Number <br /> .42 o b7- 00 b / <br /> Samplers (Signature) / / /Invoice <br /> 3 <br /> o eci Name } ' <br /> / AGE <br /> 1.� Q,1 � Ghent E] <br /> Sample Location SOmp[e Type No of <br /> Date Time Wnter Solid /� �� �"" +�,� / / Notes <br /> Number Description Comp Grab Alr Conts '�' <br /> 14 <br /> a r 5�rW 114 -1V X <br /> Nit g <br /> x- 05 - (.1c v 70 R: o <br /> - ofr� <br /> -7S •• 1 c-k Q4 75 <br /> Fze %l5 <br /> lin i ishcd by (Signature) Rf-CLIVcd by { ignalure) S��No� DalelTrme <br /> -q7 :oQ <br /> lrnrw5hed by (Signature) Ilecesved by (Signature) Date/Tike <br /> Imq fished by (Signature) Received by Mobile Laboratory for held analysis (Signature) Date/Time <br /> sp-itrhed by (Signature) Dalc/Trmc terve or Laborator by DatelTrme <br /> ahod of Shipment Laborato y Name <br /> C4 LC N CAT/ 1 ;t <br /> we ai Instruciron� 470 1 hereby auihorrze the performance of the above indicated work <br /> AV61 i <br />