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• ECORD <br /> Advanced <br /> ( CHAIN OF CUSTODY <br /> Date 11 -21-01 page �_ of � <br /> GeoEn vironmental, Inc Z - �, , J0 L <br /> 837 Shaw Road Stockton, Caklfornia- 55215 - (209) 467-1006 Fax (S49) 467-1118 <br /> ClientProject Manager <br /> S Tests Required <br /> T;rh 11 c. <br /> Phone Number <br /> P'01- LlCo-7 - I oO t <br /> Samplers (Signature) Invoice <br /> l <br /> Project Name { Client ❑ <br /> Sample Location pate Time Sampl YIJe Solid No of F y 84511 <br /> Wer <br /> Number Description atAir Conts - -- -- - <br /> Comp <br /> 8451.2 _ -- <br /> It,� <br /> �- 84513 <br /> rN�(33 tit)/f�6fi 3 �- 4?_ <br /> - -T- <br /> r\1ej�, t 7(o 845 4F - <br /> t 84515 <br /> 10(0 50111 - --- <br /> t �- 0 13(. ' -mo ' 84516 --- <br /> T14 III-Wl <br /> x '-11 y fi 84517 <br /> _ <br /> e nqu e y gnature ece ve y + nature I j �a d r' p alTlme/ 7�,� <br /> LX <br /> elinquiso bVignatur1l)- Received by {Signature} d _ alalTima <br /> F <br /> Relinquished by (Signature) Received by liloblle Laboratory for field analyale (Signature) PRFSERVATION ✓ pare ime <br /> Dispatched by (Signature) Datef lme Received 4r I aboratory Date/Time <br /> J �CF A�SINT.�._ C �TNE� <br /> Method of Shipment Laboratory Name <br /> Cj11t MC( CG <br /> Speclal lnalructlons I hereby authorize a performance of 11re, above Indicated work <br /> .J <br /> I <br />