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Advanced CHAIN OF CUSTODY RECORD <br /> =-= GeoEnvironmental, Inc. Date J2 LxL Page of <br /> ' • 3 oN <br /> 41185 NNO VA ay- ,California-952 -(209)467.1006-Fax(209)467.1119 <br /> Client �C� TDAAi; ro Project Manager eats Requiredi <br /> Phony Number� � <br /> Samplers: (Signature) 't� Invoice: <br /> Project NameAGE <br /> 40 Client K <br /> Sample Location Sample Type No. of P� yr _ <br /> Number Description Date Time WaterSolidSolid CoMs �Q Notes <br /> Comp. drab. <br /> al��b 00 f -1 0 L- 60644 <br /> 16,770 . 60645 <br /> 10'5 . 60646 <br /> I I . 60647 <br /> 1a LID 60648 <br /> X VK�x--Do 60649 <br /> o ti 60.650( <br /> e nqu _, y lure WZMWTV. gna ure dD <br /> Relinquished by:(Signature fiaceived boDete/Time <br /> nature} Date/Time <br /> volMETALS i <br /> e inqu s e y:( OOD�'IT" MAMMA bo ato for field Snalyais:(Signature) Date/Time <br /> Dispatched by: (Sig A for L4bora 1e/T{m/e <br /> ...� I l0�C✓► <br /> Method of Shipment: oratory Name <br /> Special Instructions: I hereby authorize thW performance of the above Indicated work. <br />