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tttttttts tt� tttttttt� ftttttt� � � � � ttttttt� � fi_ � � � � � �■■� � <br /> • • s <br /> ( Advanced CHAIN F CUSTODY RECORD <br /> GeoEnvironmental, Inc Date Page at <br /> 837 Shaw Road-Stockton, California-95215- (209)467-1006 - Fax (209)467.1118 o76 0) y D I G <br /> Pre Ma J <br /> Client � �,� � - ZeAm-, Tests Required <br /> on umber <br /> I's nature) invoice <br /> Project Name y A`aE <br /> Hats M____ <br /> Client ❑ <br /> Sample Type <br /> Sample Location pie TimeWater Solid No of Nates <br /> Comp <br /> Number Description Air Conts <br /> 5 -3 <br /> Grab <br /> 1 — <br /> •d ®L✓ <br /> e inqui e y agnatu a ece ve y Tgt—qn—at—ure-F ate/Time <br /> Relinquished by (Signature) Received by (Signature) Date/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date[Time <br /> Dispatched by (Signatufe) Date/Time Received for Laboratory Date/Time <br /> Method of Shipment Laborer <br /> em {^� <br /> Special Instructions V i hereby a tho ize th or ormanee of the above Indicated work <br />