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roti� _ttii■� � ttt� ta,� _� ,r_ �� �_Ell• ��rtarai�_■��� _ i <br /> Advaraeed CHAIN OF CUSTODY RECORD <br /> GeoEfiyironmental, Inc Date page 2- 013 <br /> -,' 4005 North Wftan WaySlocklon,Caldomla 85205 (205)487 1006-Fax(209)467-11 f8 <br /> 1655lo XA � <br /> Ment I, ; <br /> ,�- J Project Manager Tests Regulred <br /> V1 if LLL o <br /> Phone Num er <br /> Samplers (Signature) L Invoice <br /> AGS <br /> Project Name J i, Client ❑ <br /> Sample Location Sample Type <br /> Date Time Water Soltd No of Notes <br /> Number Desc:ritattonAir Conts <br /> Comp" "Gulf r <br /> T <br /> •� �1r'� 1'2y 1i Z''�' .3. r 06109 <br /> r <br /> ( �gnar e 1 a Y l i9n <br /> Qnte/Time ' <br /> s rndufeheL- <br /> by (Signature) WL& ved by (Srgnatur ) r <br /> s inqurshed by (S gnaiure) Received by Mobdo Laboratory for field onalysls (Signature} Oste(Time <br /> Dispatched by (Signature) OatsMme Received for Laborsuxy by Date/Time <br /> Method of Shipment Laboratorry�Ne� <br /> IT r <br /> Special instruegon UOIAS M ��IC 1 hereby authori:a rhe pas forrrranca o3 the sbov Indicated work <br /> reRFqj as ►� !pAk� <br /> GOODtj;lI�I3lrl�v_.�,,, <br /> APPROPRIATE �i �, <br />