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r <br /> Advanced CHAIN OF CUSTODY RECORD <br /> GeoEnvironmental, Inc. DatePage 2- of <br /> 837 Shaw Road - Stockton, California- 95215- (209)467 1406 - Fax (208) 467-1118 <br /> Client f Project M�ageer Tests Required <br /> ►+1 u cj t-- <br /> Phone Number <br /> 16 7 06to <br /> Samplers (Signature;) � �.q� Invoice <br /> ProjectName r <br /> �. Met 1t <br /> Sample Location Sample Type R� <br /> Date Time Water Solid Na of <br /> Number Description ,� <br /> Comp arab Air Conts Notes <br /> 9 <br /> Kto10der, ,3 iu-Wfo6 ly© 5 <br /> JkA tQ 10 t= J`I SID <br /> 1! / <br /> tu�els e neel <br /> Data/Tlme <br /> inquished by (Signature) Received by (Signature) Date/Time <br /> Relinquished by (Signalure) Received by Mobile Laboratory for(laid analysis (Signature) � � Date/Time�- <br /> Dispatched by (Signature) Date/Tlme no r aborato - <br /> Method of Shipment LftbokstNacna <br /> /l <br /> Special instructionsV /1 I hereby authorize Yhe performance of the above indicated work <br /> Ait <br /> c,-a/ '1 a I <br />