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� � � �f � � f� � f� f� itwrw t>� iffffffff! fffffffff� tt»>!w ■tti <br /> ( Advanced CHAIN OF CUSTODY RECORD <br /> GeoEnvironmental, Inc. �,?(�,� Date Page of <br /> 837 Shaw Road Stockton,Calltornia-95215- (209) 467-1006- Fax (208)467-1118 <br /> Client Project Ma agezr� I -e Tests Required <br /> P ne Number <br /> Sa els (Si nature) Irnoice <br /> Project Name t AGl` <br /> Cilerrt ❑ <br /> Sample Location Sample Type <br /> Date Time Water Solid No of Notes <br /> Number Description Comp arab Air Conts <br /> o <br /> X\4 1 <br /> �r <br /> ern i nature) ece ve y ignature DatelTlm <br /> 7606 <br /> Relinquished by (Signature) Received by (Signature) DatelTlme <br /> Relinquished b (Signature)q Y i 9 Received by Mobile Laboratory for field analysis (Signature) � DatelTlme <br /> .� <br /> Dispatched by (>ignature) Date/Time Race a o aboratory b te/Time <br /> / �3 //25 <br /> Method of Shipment Taiioratory <br /> a k 6Ue-tC6 I r/("� <br /> Spe rel Instructions ! hereby au t a the perlo ante f the aha a Indicated work <br />