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A RECOTD <br /> ( Advanced CHAIN OF CUSTODY R <br /> GeoEnvironmental, Inc, Z X32 1047 <br /> Date J 1 Page of <br /> 837 Shaw Road -Stockton, California- 95215- (209) 467 1006- Fax (209)467-1118 <br /> eL <br /> Client ProjectManager Tests Required <br /> Phone Number <br /> Samplers, (Signature) Invoice <br /> AGEK <br /> Project Name MJ3 ✓ _ a C, 0' Client n <br /> Sample Type <br /> Sample Location Date Time Water Solid No of 81284 <br /> Number Description Comp (crab Air Conts <br /> 81 285 '- <br /> -t 81266 �- <br /> 5 �I JJ-1 1-w 01 <br /> q1 81267 <br /> ' 9V q )5 81288 - <br /> q 35 X1 81289 <br /> a i u e y t nature Received y (Signature) ) ( � 12- <br /> Raiinquished by (Sign urs) Received by (Signature) / •.�4 Data(Fima <br /> Relinquished by (Signature) Received by Mobiie laboratory for field analysts (Signature) Data/Time <br /> Dispatched by (Signature) DatelTime Recsiv d r bd'r tory by Daialjtma p <br /> lu I��30 <br /> Method of Shipment L oratory Name— <br /> All <br /> - - IIA <br /> SpOG\0+�riStiUGl.�Qf15 �� p�{�fi�RLrAT��nI t i e a y uthorixe the performance of the above indicated work <br /> 3 <br />