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wwl will i i i � i i f• i' 1• i' �� i' <br /> Advanced CHA N F C STODY RECORD <br /> -__- GeoEnvironmental, Inc. Date �' Page 4 of <br /> 837 Shaw Road-Stockton, California-95215-(209)467-1006 - Fax (209)467-1118 <br /> Client P ManagN <br /> Tests Required <br /> �ftn"umber / <br /> a ers (S ature) Invoice <br /> Project Name AGE <br /> Client <br /> Sample Location Sample Type <br /> Number Description <br /> Date Time Water Air Solid No of Conts Notes <br /> Comp Grab <br /> 0244 z <br /> gc <br /> IT ' <br /> e inquis ig to ecerve y ignature at r <br /> Relinquished by (Signature) Received by (Signature) <br /> hat ITime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) DatelTime Recewod f orate by aie/T�me <br /> ?•3 L 0 L3'C� <br /> (/— A A <br /> Method of Shipment Labofa ame <br /> 1 <br /> Specrat Instructions IV I hereby a rize the rformanae of the above indicated work <br />