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�, � � �� �' a�A tattattz• � � tattattz• i � � � �� <br /> j Advanced CHAIN OF CUSTOD ECORD <br /> GeoEnvlronmental, Inc <br /> Date �2-y7-u01-07-0?- page —3— t7f.�--.– <br /> I � ��7 <br /> 837 Shaw Road - Stockton Californfa- 95215 - (249)467 1006 Fax (209)467-1118 <br /> i <br /> Client Project Manager Tests Required <br /> bo�b Mar <br /> Phone Number <br /> )109 - LIU 1 _ <br /> Samplers Signature) y 16 Invoice <br /> AGE [ <br /> Project Name @` Ment ❑ <br /> Sample Location Date Time Sample Type No of } '1 - -� <br /> Water Solid - <br /> � <br /> Number Description Comp crab Air Conts <br /> 89955_ *T <br /> /0L t�70t v2 v7oz j�QU 7t � /� <br /> �wf3�►/faZ0w oz.�r�i � �-n 89959 7 <br /> I <br /> ekm e y (S ature} ecetve y (Signature) Date rime <br /> q X 7 7 C'7 E <br /> X <br /> Rel fished ( na Received by (Stgp Datefrime <br /> f Date rime <br /> Relinquished by (Signature) r7~�r Re eiired b fib d sts (Stgnalure) <br /> Dispatched by (Signature) r L n�t Received for Laboratory by <br /> rf <br /> Datelrime <br /> JIT <br /> l�Ut <br /> L,6A� I Q�� /C.) -�- I oLo L <br /> Method of Shipment Laboratory Nana <br /> m4 Ga--,p&/,/ <br /> Special <br /> I hereby autho the performance of the above indicated work <br /> Instructions � <br /> n ,v r <br />