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( Advanced CHAIN OF CUSTODY RECORD <br /> - - GeoEnvironmental, Inc. Date ���`' page —J-- Of <br /> 837 Shaw Road - Stockton, California-95215- (209)487-1008- Fax(209) 487-1118 <br /> Client Project Ma er <br /> 1 P..- Tests Required <br /> Phone Number <br /> 7 6tJ c�Cp <br /> Samplers (Signature) Invoice. <br /> Project Name �' I X AGE <br /> Client ❑ <br /> Sample Location Sam Solid yPe No of <br /> Number Description Date Time Water Air Corns Q ' Notes <br /> Comp Grab <br /> ZA spy µ.w pr ani sb ��y� <br /> µwe t <br /> 4- A07 %.3 <br /> % A/ lf.-,W 172-A �a/d <br /> e quis a agnature ece v y gnatur p efT{rne <br /> 1I 1� a R <br /> nqulshad by (Signature) Reca ved by (Signature} DatefTime <br /> Relinqulshe by (Signature) Received by Mobile Laboratory for field analysis (Signature) DatelTims <br /> Dispatched by (Signature) Date/Time 7�d or aboratory Dale[Time <br /> Method of Shipment RECD SEALED & INTACT Via W La etc " ° <br /> Special instructions I her y authorize the perio► ince of the above Indicated work <br /> ICF1N <br /> HEAD SPACE AHSENT.__3L. CDNTAIIVERS <br /> DECHLORINATED IN LABL-PRESERVED IN <br /> PRESERVATION <br />