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CHAIN F CUSTODY RECORD <br /> � Advanced � � � •� � <br /> GeoEnvironmental, Inc ( Dared Pageof <br /> 837 Shaw Road Stockton, California- 95215 - (209)467-1006- Fax (209) 467-1118 <br /> Client Prate anag <br /> / Tests Required <br />� l <br /> P no N tuber <br /> bog e76 <br /> s {Si nature) Invoice <br /> Project Name AGE <br /> JL > Client ❑ <br /> Sample Location Samp a Type , <br /> Date Time Water Sajid No of NotesNumber Description comp crab Air Corns <br /> m vis e { natur ecT�e Gaa y gnatureDate(Tims <br /> R Iingkrish d y (Signa r Received by (Signature) Date/Tlme <br /> Retinqvished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> TA <br /> Dispatched by (Signature) Date/Time Re or Laboralor <br /> �(y1Z Datefflme <br /> Method of Shipment RECD SEALED&INTACT V14 EMe IL- (t Laboratory Nam <br /> special Instrucllona APPI hereby au ixe tfr rformanc the above Indicated work <br /> itOPRIA7'$ r <br /> HEAD SPACE At35BTiT ---- Cl]NF <br /> DECHL,0RINATED IN LAB PRESEIIVEA <br /> v1:1r+,RRVATT0X <br />