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i (♦ l♦ l♦ i♦ i♦ i♦ � l• � � � 1• 1• � � � f•1 � � <br /> CHAIN OF CUSTOD%ECORD <br /> t Advanced <br /> GeoEnvironmental, Inc. Date ` `"� Page r of a <br /> 837 Shaw Road - Stockton, California-95215-(209)467-1006- Fax (209) 467-1118 <br /> Client r-,l F ' Project Manager eQ <br /> Tests R aired <br /> Phone Number 5 <br /> t <br /> Samplers• (Signature) ;f Invace <br /> r t ACDF .d <br /> Project Name i ;'� , ,' �a Client ❑ <br /> 1� f <br /> Sample Location Sample Type No of <br /> Number Description Date Time comp�atearab par Solid Cords <br /> J +� Notes <br /> y1 <br />� p _ <br /> f � <br /> f <br /> ' <br /> f <br /> v r J ly.r` f <br /> (r c } <br /> e u)guis a y,- igrrature ece ve y rgna(ure QatelTrme <br /> Relinquished by (Signature) Received by (Signature) Qate/Tiine <br /> Relinquished by (Signature) Received by Mobilo Laboratory for field analysis (Signature) Date[Time <br /> Dispatched by (Signature) Datemme Received for Laboratory by Date/T.me <br /> Method of Shipment Labora(ory Name <br /> Spacial lfisltucNofis s I hereby authorize the performance of the above indicated work <br /> 9 1 « <br />