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• CHAIN OF CUSTODY ECORD <br /> Advanced <br /> Date I���[�t Page —2— of�— <br /> GeoEn�ironmental, Inc. Zpclq�. <br /> 837 Shaw Road- Stockton, California 95215 - (209) 467-1006 - Fax (209) 467 1118 <br /> ClientProject Manager r e 0, .�.t M e J k�r Tests Required <br /> Number <br /> ,Qoq- `lb1 - aur <br /> Samplers (Signature) invoice <br /> Project Name �/ � (7 AGE CS <br /> Client ❑ <br /> Sample location Solid SampleType No of Notes <br /> Number Description Date Time Water Air Conts � <br /> Comp Grab <br /> vT�t bfA1.�7 t�� 7� <br /> r'a7�, 1.AL1J I X y X t--84 518 <br /> 11 84519 <br /> 41 84520 <br /> R n9uia e y %01 at re eceve yignatkre �t �b '-1 otl�tJ f 'afrime <br /> eep«. <br /> l/ <br /> Relinquished y (S g slu(s) Received by (Signature) I Jbate[Ti <br /> Relinquished by iSignature) Received by Mobile Laboratory Tor field analysis (Signature) Dalefrime <br /> Dispatched by (Signature) DalefFime Received for Laboratory by Datefrime <br /> Method of Shipment f t Laboratory Name AA 1 1 l <br /> Special OR NMI S1 OTHPI hereby aulhoffzs the per(or nanca of the above Indicated work <br /> C001)ONDIT01 APPR014i'IATE <br /> e <br />