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Advanced �� CHAIN OF CUSTODY RECORD <br /> GeoEnvironmental, Inc. <br /> Date e31550 page � Z-- <br /> 837 Shaw Road - Stockton,California-95215- (209)467-1006- Fax (209) 467-1118 <br /> Client Pr Manama <br /> � � Tests Required <br /> Phone Number Cl�--� <br /> ��``�� <br /> 6 <br /> Sampt rs (Signature) lrrvoloe <br /> I <br /> Project Name .03 AGEsRl _ <br /> t/ Clem ❑ <br /> Sample Location Samp Solid ype No of <br /> Number Description date Time Water <br /> Air Corns / Notes <br /> Comp {irate C <br /> 1166 <br /> Ix xl� <br /> x <br /> Rel' ished by nature eceiv7n lure) {latelTime <br /> 1 e <br /> eiinquishad by (Signature) #lac (Signature) DatafTime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) DatefTima <br /> Dispatched by (Signature) Datefrimo flecelved for Laboratory'by Date/Time <br /> Method of Shipment Lab at Nam <br /> Special Instructions ,�r � �/ �t`��� t hereby 1horErs the pa ormarrce of the va indicated work <br />