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Advanced — 0 CHAIN OF CUSTODY RECOR!) <br /> __= GeolEnvironmental Inc Date <br /> 837 Shaw Road-Stockton California 95215 (209)467-1006-Fax (209)467 1118 <br /> Client Am Pr�it[Manager <br /> #— Tests FiegLllred <br /> S"(Spn / Invoice <br /> AGE <br /> ED <br /> Project Name Y �,' �. J �� ClientE <br /> ion Sample Type / <br /> Sample Description Time Water Air Solid Co mS Notes <br /> of <br /> Number Comp arab , <br /> lie <br /> �.r� �3 i�1t1 • �� jt�`C tU� ��L�s�) <br /> oto <br /> quish AAiopattire} Received By ignature Datelrllnp I <br /> Relinquished by (Signature) Received by (Signature) Dalo(rlmo <br /> Relinquished by (Signature) Received by Mobile Laborolory for field analysis (Signature) Data/Timc <br /> /-7 . 1. S <br /> Dispatched by (Signature) Datol7imo Rete v o rat D to ime <br /> )5 0 C. <br /> Method of Bhipmentd�,�;. Laborato Ham t .1��!fL' � <br /> t it C X9 <br /> Special Instructions I horob ulhorize he rrnarico of tho above indicated work <br />