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� Advanced <br /> CHAIN OF CUSTOR RECORD <br /> GeoEnvironmentai, Inc, Date bb� page of <br /> 837 Shaw Road Stockton, California 95216- (209)467-1008 - Fax (209)467-1118 <br /> Client i c protect Manag r Tests Required <br /> f rt-A- a <br /> 4e-lle-l- <br /> phone Number <br /> Samplers (Signature) Invoice <br /> 6011 AGE,�-- <br /> Prolect Name �r Client ❑ <br /> 1 <br /> m <br /> Sae a Type C1 <br /> Sample Location Date Time Solid No of � � Notes <br /> Number Description Water Air Conts <br /> Comp <br /> I <br /> 0`(,q j l <br /> r <br /> .li- N.wTr_1 <br /> + ,tet t lip <br /> e r urs a tgnature Received by gnature) 0 1 e <br /> A-1, 3 7>�Ga <br /> inquished by (Signature) Received by (Signature) pate 1ms <br /> Relinquished by (Signatu(e) Received by Mobile Laboratory for fleid analysis (Signature) DatelTime <br /> Dispatched by (Signature) DateJTimn qa ve Laboratory by te/Ti e <br /> Method of Shipment La °� ryy Cms <br /> Special Insttuctions t hereby a thorize th performance of the above Indicated work <br /> A2 /J <br /> �J /d <br /> C '2— <br />