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( Advanced CHAIN PF CUSTODY RECORD <br /> GeoEnvironmental, Inc. Iqa mac{ Date Page of <br /> 4005 North Wilson Way-Stockton California-95205-(209)467-1006-Fax(208)467-1118 <br /> Client Project Manager <br /> Tests Required <br /> P e umber <br /> 2ts� a�(� •y <br /> am rs (Signature) Invoice <br /> Project NameAGF <br /> v4viv- .00 Client ❑ <br /> Sample Location pate Time Sample Type Solid No, of <br /> Number Description Water Air Conts Notes <br /> comp (arab <br /> +)AUA n to k i= 36494 <br /> .02 3 MI6 X k k a 36495 <br /> t+� �i 5 <br /> r I <br /> 6M w 1-1 lbq-A-00 :0-4 kill -V 35 01 7 <br /> _ <br /> 1 <br /> /0 tit l 0356 1 4 X 364918 <br /> 36499 <br /> VVI "dD t t t ? E\,\. <br /> I;. ;_0 �lngo ey ,gnat a jo go�ture � � O� <br /> 7 <br /> Rehnqu, he0dby 61 et re} r Received by (Signature) Date rime <br /> VAS GIMETAISJOIR <br /> Relinquished n liLd JiVMTIUI ed fN All Laboratory for field analysis (Signature) Date/Time <br /> GOOD CONDITIO TNN� <br /> Dispatched bHB@SMf� CONnatelTima Received for Laboratory by Date/Time <br /> Method of S tent VV nt La"laJory ame <br /> Special Instructions I hereby authorizell the performan a of t above Indicated work <br /> _ _ C,���E�' ,ice r✓c�c�Ste.�� o�.�.,��•���1� <br />